Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $69.55 / $69.55 / $69.55	Facility		$69.55	$69.55	$69.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.68 / $69.55 / $115.71	Professional		$65.68	$69.55	$115.71
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $108.82 / $108.82 / $139.91	Professional		$108.82	$108.82	$139.91
BCBS Facility/Professional Professional Modifier Low / Median / High Price $99.30 / $127.99 / $182.86	Professional		$99.30	$127.99	$182.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $100.03 / $100.03 / $110.44	Facility		$100.03	$100.03	$110.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $73.02 / $97.88 / $100.03	Professional		$73.02	$97.88	$100.03
Medcost Facility/Professional Facility Modifier Low / Median / High Price $68.05 / $109.06 / $244.15	Facility		$68.05	$109.06	$244.15
Medcost Facility/Professional Professional Modifier Low / Median / High Price $109.06 / $109.06 / $109.06	Professional		$109.06	$109.06	$109.06
Molina Facility/Professional Professional Modifier Low / Median / High Price $105.05 / $105.05 / $105.05	Professional		$105.05	$105.05	$105.05
United Facility/Professional Professional Modifier Low / Median / High Price $53.96 / $76.87 / $103.83	Professional		$53.96	$76.87	$103.83