Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $73.42 / $73.42 / $73.42	Facility		$73.42	$73.42	$73.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.45 / $73.42 / $129.90	Professional		$70.45	$73.42	$129.90
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $133.52 / $133.52 / $133.52	Professional		$133.52	$133.52	$133.52
BCBS Facility/Professional Professional Modifier Low / Median / High Price $103.73 / $135.38 / $178.52	Professional		$103.73	$135.38	$178.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $83.71 / $83.71 / $173.84	Facility		$83.71	$83.71	$173.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.19 / $61.11 / $83.71	Professional		$38.19	$61.11	$83.71
Medcost Facility/Professional Facility Modifier Low / Median / High Price $73.42 / $98.84 / $240.04	Facility		$73.42	$98.84	$240.04
Medcost Facility/Professional Professional Modifier Low / Median / High Price $116.11 / $116.11 / $116.11	Professional		$116.11	$116.11	$116.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $61.50 / $61.50 / $61.50	Professional		$61.50	$61.50	$61.50
United Facility/Professional Facility Modifier Low / Median / High Price $46.54 / $76.31 / $99.32	Facility		$46.54	$76.31	$99.32
United Facility/Professional Professional Modifier Low / Median / High Price $49.34 / $70.70 / $103.42	Professional		$49.34	$70.70	$103.42