Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.60 / $41.60 / $41.60	Facility		$41.60	$41.60	$41.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.60 / $41.60 / $83.50	Professional		$41.60	$41.60	$83.50
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $53.75 / $53.75 / $53.75	Professional		$53.75	$53.75	$53.75
BCBS Facility/Professional Professional Modifier Low / Median / High Price $62.50 / $80.34 / $110.81	Professional		$62.50	$80.34	$110.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $69.84 / $69.84 / $124.50	Facility		$69.84	$69.84	$124.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.99 / $69.84 / $69.84	Professional		$50.99	$69.84	$69.84
Medcost Facility/Professional Facility Modifier Low / Median / High Price $41.60 / $51.58 / $129.44	Facility		$41.60	$51.58	$129.44
Medcost Facility/Professional Professional Modifier Low / Median / High Price $101.50 / $101.50 / $148.00	Professional		$101.50	$101.50	$148.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00
United Facility/Professional Professional Modifier Low / Median / High Price $34.04 / $51.28 / $80.34	Professional		$34.04	$51.28	$80.34