Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $48.98 / $48.98	Facility		$48.98	$48.98	$48.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $50.12 / $87.10	Professional		$41.69	$50.12	$87.10
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $75.86 / $91.20	Professional		$72.44	$75.86	$91.20
BCBS Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $102.33 / $123.03	Professional		$61.66	$102.33	$123.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $63.10 / $165.96	Facility		$44.67	$63.10	$165.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $45.71 / $112.20	Professional		$45.71	$45.71	$112.20
Medcost Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $54.95 / $61.66	Professional		$48.98	$54.95	$61.66
Medcost Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $74.13 / $158.49	Facility		$47.86	$74.13	$158.49
Medcost Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $29.51 / $29.51	Professional		$29.51	$29.51	$29.51
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $67.61	Professional		$30.20	$30.20	$67.61
United Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $57.54 / $125.89	Facility		$45.71	$57.54	$125.89
United Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $48.98 / $63.10	Professional		$38.02	$48.98	$63.10