Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.13 / $38.13 / $38.13	Facility		$38.13	$38.13	$38.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.92 / $38.13 / $63.44	Professional		$36.92	$38.13	$63.44
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $76.70 / $76.70 / $76.70	Professional		$76.70	$76.70	$76.70
BCBS Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $61.54 / $90.34	Professional		$50.00	$61.54	$90.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $37.96 / $50.36 / $55.61	Facility		$37.96	$50.36	$55.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.76 / $50.36 / $51.26	Professional		$36.76	$50.36	$51.26
Medcost Facility/Professional Facility Modifier Low / Median / High Price $37.93 / $62.00 / $131.49	Facility		$37.93	$62.00	$131.49
Medcost Facility/Professional Professional Modifier Low / Median / High Price $48.00 / $48.00 / $51.00	Professional		$48.00	$48.00	$51.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $57.59 / $57.59 / $57.59	Professional		$57.59	$57.59	$57.59
United Facility/Professional Professional Modifier Low / Median / High Price $28.35 / $42.14 / $58.52	Professional		$28.35	$42.14	$58.52