Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $64.57 / $64.57	Facility		$64.57	$64.57	$64.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $79.43 / $114.82	Professional		$57.54	$79.43	$114.82
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Professional		$100.00	$100.00	$100.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $134.90 / $158.49	Professional		$79.43	$134.90	$158.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $107.15 / $251.19	Facility		$58.88	$107.15	$251.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $77.62 / $181.97	Professional		$77.62	$77.62	$181.97
Medcost Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $89.13 / $89.13	Professional		$79.43	$89.13	$89.13
Medcost Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $104.71 / $218.78	Facility		$66.07	$104.71	$218.78
Medcost Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $41.69 / $42.66	Professional		$41.69	$41.69	$42.66
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $89.13	Professional		$30.20	$30.20	$89.13
United Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $83.18 / $181.97	Facility		$66.07	$83.18	$181.97
United Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $66.07 / $89.13	Professional		$51.29	$66.07	$89.13