Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.79 / $42.79 / $97.94	Facility		$23.79	$42.79	$97.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.10 / $45.71 / $99.53	Professional		$35.10	$45.71	$99.53
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $59.21 / $110.00 / $110.00	Professional		$59.21	$110.00	$110.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $30.89 / $61.86 / $136.54	Facility		$30.89	$61.86	$136.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $71.00 / $87.38 / $119.50	Professional		$71.00	$87.38	$119.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $54.42 / $67.14 / $74.14	Facility		$54.42	$67.14	$74.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.01 / $67.14 / $76.52	Professional		$49.01	$67.14	$76.52
Medcost Facility/Professional Facility Modifier Low / Median / High Price $43.59 / $78.38 / $142.51	Facility		$43.59	$78.38	$142.51
Medcost Facility/Professional Professional Modifier Low / Median / High Price $69.00 / $69.00 / $73.01	Professional		$69.00	$69.00	$73.01
Molina Facility/Professional Professional Modifier Low / Median / High Price $82.56 / $82.56 / $82.56	Professional		$82.56	$82.56	$82.56
United Facility/Professional Professional Modifier Low / Median / High Price $37.00 / $56.81 / $73.48	Professional		$37.00	$56.81	$73.48