Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $49.28 / $49.28 / $49.28	Facility		$49.28	$49.28	$49.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.94 / $49.28 / $82.00	Professional		$47.94	$49.28	$82.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $99.15 / $99.15 / $99.15	Professional		$99.15	$99.15	$99.15
BCBS Facility/Professional Professional Modifier Low / Median / High Price $65.00 / $81.95 / $116.78	Professional		$65.00	$81.95	$116.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $49.06 / $68.84 / $76.00	Facility		$49.06	$68.84	$76.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.25 / $50.25 / $78.34	Professional		$50.25	$50.25	$78.34
Medcost Facility/Professional Facility Modifier Low / Median / High Price $49.03 / $79.00 / $173.02	Facility		$49.03	$79.00	$173.02
Medcost Facility/Professional Professional Modifier Low / Median / High Price $62.00 / $62.00 / $67.00	Professional		$62.00	$62.00	$67.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $74.44 / $74.44 / $74.44	Professional		$74.44	$74.44	$74.44
United Facility/Professional Professional Modifier Low / Median / High Price $36.64 / $54.96 / $82.81	Professional		$36.64	$54.96	$82.81