Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $72.44 / $72.44	Facility		$72.44	$72.44	$72.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $81.28 / $128.82	Professional		$61.66	$81.28	$128.82
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $114.82 / $147.91	Professional		$100.00	$114.82	$147.91
BCBS Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $147.91 / $173.78	Professional		$85.11	$147.91	$173.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $102.33 / $257.04	Facility		$66.07	$102.33	$257.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $74.13 / $181.97	Professional		$74.13	$74.13	$181.97
Medcost Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $89.13 / $97.72	Professional		$74.13	$89.13	$97.72
Medcost Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $120.23 / $263.03	Facility		$72.44	$120.23	$263.03
Medcost Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $44.67 / $45.71	Professional		$44.67	$44.67	$45.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $100.00	Professional		$30.20	$30.20	$100.00
United Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $89.13 / $190.55	Facility		$69.18	$89.13	$190.55
United Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $72.44 / $95.50	Professional		$56.23	$72.44	$95.50