Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $32.36 / $44.67	Facility		$32.36	$32.36	$44.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $53.70 / $102.33	Professional		$40.74	$53.70	$102.33
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $70.79 / $93.33	Professional		$53.70	$70.79	$93.33
BCBS Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $93.33 / $112.20	Professional		$53.70	$93.33	$112.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $57.54 / $162.18	Facility		$41.69	$57.54	$162.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $42.66 / $104.71	Professional		$42.66	$42.66	$104.71
Medcost Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $63.10 / $70.79	Professional		$60.26	$63.10	$70.79
Medcost Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $77.62 / $158.49	Facility		$45.71	$77.62	$158.49
Medcost Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $28.84 / $28.84	Professional		$28.84	$28.84	$28.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $63.10	Professional		$30.20	$30.20	$63.10
United Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $51.29 / $123.03	Facility		$43.65	$51.29	$123.03
United Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $45.71 / $60.26	Professional		$35.48	$45.71	$60.26