Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $141.25 / $512.86	Facility		$56.23	$141.25	$512.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $60.26 / $102.33	Professional		$44.67	$60.26	$102.33
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $85.11 / $87.10	Professional		$57.54	$85.11	$87.10
BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $114.82 / $134.90	Professional		$66.07	$114.82	$134.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $70.79 / $199.53	Facility		$50.12	$70.79	$199.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $51.29 / $131.83	Professional		$51.29	$51.29	$131.83
Medcost Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $67.61 / $75.86	Professional		$56.23	$67.61	$75.86
Medcost Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $91.20 / $194.98	Facility		$56.23	$91.20	$194.98
Medcost Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $36.31 / $36.31	Professional		$36.31	$36.31	$36.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $75.86	Professional		$30.20	$30.20	$75.86
United Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $66.07 / $154.88	Facility		$52.48	$66.07	$154.88
United Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $56.23 / $75.86	Professional		$43.65	$56.23	$75.86