Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $68.69 / $68.69 / $68.69	Facility		$68.69	$68.69	$68.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $68.69 / $68.69 / $114.27	Professional		$68.69	$68.69	$114.27
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $74.84 / $74.84 / $74.84	Professional		$74.84	$74.84	$74.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $90.00 / $113.47 / $162.75	Professional		$90.00	$113.47	$162.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $68.39 / $99.32 / $109.66	Facility		$68.39	$99.32	$109.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.50 / $92.33 / $99.32	Professional		$72.50	$92.33	$99.32
Medcost Facility/Professional Facility Modifier Low / Median / High Price $68.33 / $110.00 / $241.13	Facility		$68.33	$110.00	$241.13
Medcost Facility/Professional Professional Modifier Low / Median / High Price $86.00 / $86.00 / $93.00	Professional		$86.00	$86.00	$93.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $103.75 / $103.75 / $103.75	Professional		$103.75	$103.75	$103.75
United Facility/Professional Professional Modifier Low / Median / High Price $59.98 / $76.59 / $115.42	Professional		$59.98	$76.59	$115.42