Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $72.44 / $72.44	Facility		$72.44	$72.44	$72.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $66.07 / $128.82	Professional		$50.12	$66.07	$128.82
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $125.89 / $177.83	Professional		$77.62	$125.89	$177.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $147.91 / $173.78	Professional		$85.11	$147.91	$173.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $89.13 / $199.53	Facility		$64.57	$89.13	$199.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $64.57 / $144.54	Professional		$64.57	$64.57	$144.54
Medcost Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $66.07 / $74.13	Professional		$60.26	$66.07	$74.13
Medcost Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $97.72 / $218.78	Facility		$63.10	$97.72	$218.78
Medcost Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $35.48 / $35.48	Professional		$35.48	$35.48	$35.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $100.00	Professional		$30.20	$30.20	$100.00
United Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $69.18 / $151.36	Facility		$54.95	$69.18	$151.36
United Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $69.18 / $89.13	Professional		$45.71	$69.18	$89.13