Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $35.20 / $82.25 / $167.44	Facility		$35.20	$82.25	$167.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.14 / $78.16 / $138.28	Professional		$40.14	$78.16	$138.28
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $102.65 / $102.65 / $157.91	Professional		$102.65	$102.65	$157.91
BCBS Facility/Professional Facility Modifier Low / Median / High Price $41.89 / $52.68 / $61.64	Facility		$41.89	$52.68	$61.64
BCBS Facility/Professional Professional Modifier Low / Median / High Price $92.00 / $116.00 / $167.40	Professional		$92.00	$116.00	$167.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $70.33 / $86.64 / $95.66	Facility		$70.33	$86.64	$95.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.25 / $86.64 / $94.98	Professional		$63.25	$86.64	$94.98
Medcost Facility/Professional Facility Modifier Low / Median / High Price $70.28 / $114.00 / $248.01	Facility		$70.28	$114.00	$248.01
Medcost Facility/Professional Professional Modifier Low / Median / High Price $89.00 / $89.00 / $95.00	Professional		$89.00	$89.00	$95.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $106.71 / $106.71 / $106.71	Professional		$106.71	$106.71	$106.71
United Facility/Professional Professional Modifier Low / Median / High Price $51.83 / $72.56 / $93.71	Professional		$51.83	$72.56	$93.71