Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $78.12 / $78.12 / $78.12	Facility		$78.12	$78.12	$78.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.01 / $78.12 / $138.21	Professional		$71.01	$78.12	$138.21
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $142.06 / $142.06 / $142.06	Professional		$142.06	$142.06	$142.06
BCBS Facility/Professional Professional Modifier Low / Median / High Price $99.30 / $127.99 / $182.86	Professional		$99.30	$127.99	$182.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $20.42 / $99.06 / $109.36	Facility		$20.42	$99.06	$109.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.31 / $94.93 / $99.06	Professional		$72.31	$94.93	$99.06
Medcost Facility/Professional Facility Modifier Low / Median / High Price $70.23 / $114.00 / $247.88	Facility		$70.23	$114.00	$247.88
Medcost Facility/Professional Professional Modifier Low / Median / High Price $88.00 / $88.00 / $88.00	Professional		$88.00	$88.00	$88.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $106.65 / $106.65 / $106.65	Professional		$106.65	$106.65	$106.65
United Facility/Professional Professional Modifier Low / Median / High Price $52.50 / $75.79 / $94.93	Professional		$52.50	$75.79	$94.93