Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $37.36 / $37.36 / $37.36	Facility		$37.36	$37.36	$37.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.84 / $37.36 / $66.09	Professional		$35.84	$37.36	$66.09
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $49.06 / $49.06 / $49.06	Professional		$49.06	$49.06	$49.06
BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $49.23 / $80.01	Professional		$40.00	$49.23	$80.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.00 / $41.91 / $46.28	Facility		$18.00	$41.91	$46.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.59 / $30.59 / $47.51	Professional		$30.59	$30.59	$47.51
Medcost Facility/Professional Facility Modifier Low / Median / High Price $27.33 / $50.44 / $118.54	Facility		$27.33	$50.44	$118.54
Medcost Facility/Professional Professional Modifier Low / Median / High Price $44.00 / $44.00 / $44.00	Professional		$44.00	$44.00	$44.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.99 / $50.99 / $50.99	Professional		$50.99	$50.99	$50.99
United Facility/Professional Facility Modifier Low / Median / High Price $89.43 / $89.43 / $89.43	Facility		$89.43	$89.43	$89.43
United Facility/Professional Professional Modifier Low / Median / High Price $25.10 / $35.97 / $47.34	Professional		$25.10	$35.97	$47.34