Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $69.18 / $69.18	Facility		$69.18	$69.18	$69.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $75.86 / $114.82	Professional		$64.57	$75.86	$114.82
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $117.49 / $141.25	Professional		$104.71	$117.49	$141.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $154.88 / $186.21	Professional		$104.71	$154.88	$186.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $245.47	Facility		$100.00	$100.00	$245.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $72.44 / $177.83	Professional		$72.44	$72.44	$177.83
Medcost Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $77.62 / $100.00	Professional		$77.62	$77.62	$100.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $112.20 / $245.47	Facility		$69.18	$112.20	$245.47
Medcost Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $44.67 / $44.67	Professional		$44.67	$44.67	$44.67
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $104.71	Professional		$30.20	$30.20	$104.71
United Facility/Professional Facility Modifier Low / Median / High Price $0.11 / $104.71 / $186.21	Facility		$0.11	$104.71	$186.21
United Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $77.62 / $107.15	Professional		$57.54	$77.62	$107.15