Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $42.66 / $42.66	Facility		$42.66	$42.66	$42.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $42.66 / $75.86	Professional		$33.88	$42.66	$75.86
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $60.26 / $87.10	Professional		$43.65	$60.26	$87.10
BCBS Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $87.10 / $102.33	Professional		$50.12	$87.10	$102.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $48.98 / $138.04	Facility		$38.90	$48.98	$138.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $35.48 / $87.10	Professional		$35.48	$35.48	$87.10
Medcost Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $46.77 / $51.29	Professional		$38.02	$46.77	$51.29
Medcost Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $61.66 / $138.04	Facility		$38.90	$61.66	$138.04
Medcost Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $23.99 / $24.55	Professional		$23.99	$23.99	$24.55
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $58.88	Professional		$30.20	$30.20	$58.88
United Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $48.98 / $102.33	Facility		$37.15	$48.98	$102.33
United Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $42.66 / $54.95	Professional		$31.62	$42.66	$54.95