Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $46.77 / $46.77	Facility		$46.77	$46.77	$46.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $52.48 / $83.18	Professional		$42.66	$52.48	$83.18
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $75.86 / $83.18	Professional		$58.88	$75.86	$83.18
BCBS Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $95.50 / $114.82	Professional		$56.23	$95.50	$114.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $63.10 / $169.82	Facility		$42.66	$63.10	$169.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $45.71 / $114.82	Professional		$45.71	$45.71	$114.82
Medcost Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $58.88 / $64.57	Professional		$54.95	$58.88	$64.57
Medcost Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $77.62 / $158.49	Facility		$47.86	$77.62	$158.49
Medcost Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $30.90	Professional		$30.20	$30.20	$30.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $64.57	Professional		$30.20	$30.20	$64.57
United Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $60.26 / $128.82	Facility		$47.86	$60.26	$128.82
United Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $47.86 / $64.57	Professional		$37.15	$47.86	$64.57