Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $60.26 / $60.26	Facility		$60.26	$60.26	$60.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $69.18 / $100.00	Professional		$56.23	$69.18	$100.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $91.20 / $138.04	Professional		$91.20	$91.20	$138.04
BCBS Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $138.04 / $158.49	Professional		$79.43	$138.04	$158.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $89.13 / $218.78	Facility		$60.26	$89.13	$218.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $64.57 / $158.49	Professional		$64.57	$64.57	$158.49
Medcost Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $81.28 / $81.28	Professional		$74.13	$81.28	$81.28
Medcost Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $100.00 / $218.78	Facility		$60.26	$100.00	$218.78
Medcost Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $38.90 / $39.81	Professional		$38.90	$38.90	$39.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $91.20	Professional		$30.20	$30.20	$91.20
United Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $91.20 / $165.96	Facility		$79.43	$91.20	$165.96
United Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $67.61 / $93.33	Professional		$50.12	$67.61	$93.33