Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $95.76 / $95.76 / $95.76	Facility		$95.76	$95.76	$95.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.73 / $95.76 / $169.41	Professional		$81.73	$95.76	$169.41
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $164.45 / $164.45 / $164.45	Professional		$164.45	$164.45	$164.45
BCBS Facility/Professional Professional Modifier Low / Median / High Price $92.00 / $116.00 / $203.14	Professional		$92.00	$116.00	$203.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $24.99 / $107.42 / $118.60	Facility		$24.99	$107.42	$118.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $78.42 / $107.42 / $153.94	Professional		$78.42	$107.42	$153.94
Medcost Facility/Professional Facility Modifier Low / Median / High Price $86.10 / $139.00 / $303.85	Facility		$86.10	$139.00	$303.85
Medcost Facility/Professional Professional Modifier Low / Median / High Price $108.00 / $108.00 / $117.00	Professional		$108.00	$108.00	$117.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $130.74 / $130.74 / $130.74	Professional		$130.74	$130.74	$130.74
United Facility/Professional Facility Modifier Low / Median / High Price $58.13 / $91.26 / $129.22	Facility		$58.13	$91.26	$129.22
United Facility/Professional Professional Modifier Low / Median / High Price $64.34 / $92.91 / $121.36	Professional		$64.34	$92.91	$121.36