Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $45.71 / $45.71	Facility		$45.71	$45.71	$45.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $46.77 / $81.28	Professional		$38.90	$46.77	$81.28
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $60.26 / $60.26	Professional		$60.26	$60.26	$60.26
BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $95.50 / $117.49	Professional		$60.26	$95.50	$117.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $56.23 / $147.91	Facility		$12.02	$56.23	$147.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $41.69 / $107.15	Professional		$41.69	$41.69	$107.15
Medcost Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $54.95 / $60.26	Professional		$46.77	$54.95	$60.26
Medcost Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $69.18 / $151.36	Facility		$44.67	$69.18	$151.36
Medcost Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $26.30 / $26.92	Professional		$26.30	$26.30	$26.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $30.20	Professional		$30.20	$30.20	$30.20
United Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $47.86 / $112.20	Facility		$40.74	$47.86	$112.20
United Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $46.77 / $58.88	Professional		$34.67	$46.77	$58.88