Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $72.87 / $72.87 / $72.87	Facility		$72.87	$72.87	$72.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.91 / $72.87 / $128.91	Professional		$69.91	$72.87	$128.91
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $103.05 / $132.50 / $147.22	Professional		$103.05	$132.50	$147.22
BCBS Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $107.16 / $156.05	Professional		$85.00	$107.16	$156.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $65.56 / $102.60 / $113.27	Facility		$65.56	$102.60	$113.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.90 / $88.52 / $102.60	Professional		$74.90	$88.52	$102.60
Medcost Facility/Professional Facility Modifier Low / Median / High Price $65.51 / $106.00 / $231.21	Facility		$65.51	$106.00	$231.21
Medcost Facility/Professional Professional Modifier Low / Median / High Price $83.00 / $83.00 / $89.00	Professional		$83.00	$83.00	$89.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $99.48 / $99.48 / $99.48	Professional		$99.48	$99.48	$99.48
United Facility/Professional Professional Modifier Low / Median / High Price $54.31 / $71.81 / $89.44	Professional		$54.31	$71.81	$89.44