Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $38.90 / $38.90	Facility		$38.90	$38.90	$38.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $41.69 / $66.07	Professional		$36.31	$41.69	$66.07
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $67.61 / $85.11	Professional		$53.70	$67.61	$85.11
BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $89.13 / $109.65	Professional		$60.26	$89.13	$109.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $51.29 / $144.54	Facility		$38.90	$51.29	$144.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $38.02 / $93.33	Professional		$38.02	$38.02	$93.33
Medcost Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $47.86 / $53.70	Professional		$45.71	$47.86	$53.70
Medcost Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $64.57 / $138.04	Facility		$38.90	$64.57	$138.04
Medcost Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $25.70 / $26.30	Professional		$25.70	$25.70	$26.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $58.88	Professional		$30.20	$30.20	$58.88
United Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $60.26 / $109.65	Facility		$52.48	$60.26	$109.65
United Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $43.65 / $61.66	Professional		$33.11	$43.65	$61.66