Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $78.36 / $78.36 / $78.36	Facility		$78.36	$78.36	$78.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $73.47 / $78.36 / $138.63	Professional		$73.47	$78.36	$138.63
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $110.82 / $110.82 / $158.32	Professional		$110.82	$110.82	$158.32
BCBS Facility/Professional Professional Modifier Low / Median / High Price $97.00 / $122.30 / $171.73	Professional		$97.00	$122.30	$171.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $20.42 / $88.85 / $98.10	Facility		$20.42	$88.85	$98.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.86 / $88.85 / $95.20	Professional		$64.86	$88.85	$95.20
Medcost Facility/Professional Facility Modifier Low / Median / High Price $70.45 / $114.00 / $248.64	Facility		$70.45	$114.00	$248.64
Medcost Facility/Professional Professional Modifier Low / Median / High Price $89.00 / $89.00 / $96.00	Professional		$89.00	$89.00	$96.00
United Facility/Professional Professional Modifier Low / Median / High Price $52.66 / $75.45 / $95.18	Professional		$52.66	$75.45	$95.18