Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $58.68 / $58.68 / $58.68	Facility		$58.68	$58.68	$58.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.08 / $58.68 / $103.82	Professional		$50.08	$58.68	$103.82
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $75.00 / $77.06 / $91.41	Professional		$75.00	$77.06	$91.41
BCBS Facility/Professional Professional Modifier Low / Median / High Price $73.52 / $94.76 / $135.38	Professional		$73.52	$94.76	$135.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.29 / $65.81 / $72.66	Facility		$15.29	$65.81	$72.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.04 / $65.81 / $71.29	Professional		$48.04	$65.81	$71.29
Medcost Facility/Professional Facility Modifier Low / Median / High Price $52.76 / $85.00 / $186.20	Facility		$52.76	$85.00	$186.20
Medcost Facility/Professional Professional Modifier Low / Median / High Price $66.00 / $66.00 / $66.00	Professional		$66.00	$66.00	$66.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $80.11 / $80.11 / $80.11	Professional		$80.11	$80.11	$80.11
United Facility/Professional Facility Modifier Low / Median / High Price $140.44 / $140.44 / $140.44	Facility		$140.44	$140.44	$140.44
United Facility/Professional Professional Modifier Low / Median / High Price $39.43 / $56.51 / $79.16	Professional		$39.43	$56.51	$79.16