Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $72.59 / $72.59 / $72.59	Facility		$72.59	$72.59	$72.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.54 / $72.59 / $128.41	Professional		$58.54	$72.59	$128.41
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $99.00 / $146.66 / $212.66	Professional		$99.00	$146.66	$212.66
BCBS Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $107.16 / $155.46	Professional		$85.00	$107.16	$155.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $65.31 / $88.85 / $98.10	Facility		$65.31	$88.85	$98.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.86 / $84.33 / $88.85	Professional		$64.86	$84.33	$88.85
Medcost Facility/Professional Facility Modifier Low / Median / High Price $54.86 / $106.00 / $230.32	Facility		$54.86	$106.00	$230.32
Medcost Facility/Professional Professional Modifier Low / Median / High Price $82.00 / $82.00 / $89.00	Professional		$82.00	$82.00	$89.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $99.10 / $99.10 / $99.10	Professional		$99.10	$99.10	$99.10
United Facility/Professional Professional Modifier Low / Median / High Price $46.13 / $65.84 / $87.24	Professional		$46.13	$65.84	$87.24