Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.64 / $100.64 / $100.64	Facility		$100.64	$100.64	$100.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.87 / $100.64 / $178.05	Professional		$85.87	$100.64	$178.05
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $142.34 / $142.34 / $169.07	Professional		$142.34	$142.34	$169.07
BCBS Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $175.83 / $213.51	Professional		$100.00	$175.83	$213.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $26.22 / $112.67 / $124.39	Facility		$26.22	$112.67	$124.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $82.25 / $112.67 / $122.27	Professional		$82.25	$112.67	$122.27
Medcost Facility/Professional Facility Modifier Low / Median / High Price $90.48 / $146.00 / $319.33	Facility		$90.48	$146.00	$319.33
Medcost Facility/Professional Professional Modifier Low / Median / High Price $114.00 / $114.00 / $123.00	Professional		$114.00	$114.00	$123.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $137.39 / $137.39 / $137.39	Professional		$137.39	$137.39	$137.39
United Facility/Professional Professional Modifier Low / Median / High Price $67.63 / $96.92 / $122.27	Professional		$67.63	$96.92	$122.27