Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.42 / $48.42 / $48.42	Facility		$48.42	$48.42	$48.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.42 / $50.95 / $85.67	Professional		$48.42	$50.95	$85.67
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $68.48 / $88.05 / $97.83	Professional		$68.48	$88.05	$97.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $75.64 / $106.72	Professional		$60.00	$75.64	$106.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $43.57 / $72.18 / $79.69	Facility		$43.57	$72.18	$79.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.69 / $58.83 / $72.18	Professional		$52.69	$58.83	$72.18
Medcost Facility/Professional Facility Modifier Low / Median / High Price $43.53 / $71.00 / $153.65	Facility		$43.53	$71.00	$153.65
Medcost Facility/Professional Professional Modifier Low / Median / High Price $55.00 / $55.00 / $59.00	Professional		$55.00	$55.00	$59.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $66.10 / $66.10 / $66.10	Professional		$66.10	$66.10	$66.10
United Facility/Professional Professional Modifier Low / Median / High Price $32.86 / $48.37 / $64.81	Professional		$32.86	$48.37	$64.81