Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $65.67 / $65.67 / $65.67	Facility		$65.67	$65.67	$65.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.01 / $65.67 / $116.18	Professional		$63.01	$65.67	$116.18
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $92.88 / $92.88 / $92.88	Professional		$92.88	$92.88	$92.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $80.00 / $98.46 / $140.76	Professional		$80.00	$98.46	$140.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $59.09 / $106.22 / $117.28	Facility		$59.09	$106.22	$117.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.54 / $79.79 / $106.22	Professional		$77.54	$79.79	$106.22
Medcost Facility/Professional Facility Modifier Low / Median / High Price $59.04 / $96.00 / $208.36	Facility		$59.04	$96.00	$208.36
Medcost Facility/Professional Professional Modifier Low / Median / High Price $75.00 / $75.00 / $80.00	Professional		$75.00	$75.00	$80.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $89.65 / $89.65 / $89.65	Professional		$89.65	$89.65	$89.65
United Facility/Professional Facility Modifier Low / Median / High Price $49.98 / $75.06 / $100.42	Facility		$49.98	$75.06	$100.42
United Facility/Professional Professional Modifier Low / Median / High Price $44.13 / $65.59 / $88.25	Professional		$44.13	$65.59	$88.25