Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $65.34 / $65.34 / $65.34	Facility		$65.34	$65.34	$65.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.71 / $65.34 / $115.62	Professional		$62.71	$65.34	$115.62
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $85.83 / $130.00 / $135.00	Professional		$85.83	$130.00	$135.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $80.00 / $100.86 / $142.30	Professional		$80.00	$100.86	$142.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $58.81 / $92.98 / $102.65	Facility		$58.81	$92.98	$102.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.88 / $67.88 / $93.10	Professional		$67.88	$67.88	$93.10
Medcost Facility/Professional Facility Modifier Low / Median / High Price $58.76 / $95.00 / $207.37	Facility		$58.76	$95.00	$207.37
Medcost Facility/Professional Professional Modifier Low / Median / High Price $74.00 / $74.00 / $80.00	Professional		$74.00	$74.00	$80.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $89.22 / $89.22 / $89.22	Professional		$89.22	$89.22	$89.22
United Facility/Professional Professional Modifier Low / Median / High Price $43.92 / $63.16 / $85.15	Professional		$43.92	$63.16	$85.15