Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $49.39 / $49.39 / $49.39	Facility		$49.39	$49.39	$49.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.39 / $49.39 / $87.38	Professional		$47.39	$49.39	$87.38
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $69.86 / $69.86 / $69.86	Professional		$69.86	$69.86	$69.86
BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $75.64 / $106.72	Professional		$60.00	$75.64	$106.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $44.45 / $62.72 / $69.25	Facility		$44.45	$62.72	$69.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.79 / $60.01 / $62.72	Professional		$45.79	$60.01	$62.72
Medcost Facility/Professional Facility Modifier Low / Median / High Price $44.40 / $72.00 / $156.72	Facility		$44.40	$72.00	$156.72
Medcost Facility/Professional Professional Modifier Low / Median / High Price $56.00 / $56.00 / $60.00	Professional		$56.00	$56.00	$60.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $67.42 / $67.42 / $67.42	Professional		$67.42	$67.42	$67.42
United Facility/Professional Facility Modifier Low / Median / High Price $123.01 / $123.01 / $123.01	Facility		$123.01	$123.01	$123.01
United Facility/Professional Professional Modifier Low / Median / High Price $33.19 / $46.40 / $62.05	Professional		$33.19	$46.40	$62.05