Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.93 / $57.93 / $57.93	Facility		$57.93	$57.93	$57.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.66 / $57.93 / $102.48	Professional		$52.66	$57.93	$102.48
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $81.93 / $81.93 / $117.04	Professional		$81.93	$81.93	$117.04
BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $37.82 / $121.72	Professional		$30.00	$37.82	$121.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $75.70 / $75.70 / $83.59	Facility		$75.70	$75.70	$83.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $55.27 / $55.27 / $74.08	Professional		$55.27	$55.27	$74.08
Medcost Facility/Professional Facility Modifier Low / Median / High Price $52.08 / $85.64 / $183.81	Facility		$52.08	$85.64	$183.81
Medcost Facility/Professional Professional Modifier Low / Median / High Price $85.64 / $85.64 / $85.64	Professional		$85.64	$85.64	$85.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $79.08 / $79.08 / $79.08	Professional		$79.08	$79.08	$79.08
United Facility/Professional Professional Modifier Low / Median / High Price $40.49 / $56.93 / $70.38	Professional		$40.49	$56.93	$70.38