Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $49.75 / $49.75 / $49.75	Facility		$49.75	$49.75	$49.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.75 / $52.67 / $148.04	Professional		$49.75	$52.67	$148.04
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $81.02 / $103.55 / $125.00	Professional		$81.02	$103.55	$125.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $107.16 / $143.44	Professional		$85.00	$107.16	$143.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $84.97 / $84.97 / $93.81	Facility		$84.97	$84.97	$93.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $62.03 / $84.97 / $87.14	Professional		$62.03	$84.97	$87.14
Medcost Facility/Professional Facility Modifier Low / Median / High Price $49.72 / $83.45 / $205.79	Facility		$49.72	$83.45	$205.79
Medcost Facility/Professional Professional Modifier Low / Median / High Price $114.79 / $114.79 / $114.79	Professional		$114.79	$114.79	$114.79
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 $43.42 / $65.84 / $91.83	Professional		$43.42	$65.84	$91.83