Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $78.69 / $78.69 / $78.69	Facility		$78.69	$78.69	$78.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.10 / $78.69 / $130.93	Professional		$48.10	$78.69	$130.93
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $85.75 / $85.75 / $85.75	Professional		$85.75	$85.75	$85.75
BCBS Facility/Professional Professional Modifier Low / Median / High Price $105.00 / $167.00 / $211.68	Professional		$105.00	$167.00	$211.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $37.61 / $128.85 / $142.25	Facility		$37.61	$128.85	$142.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.52 / $126.00 / $128.85	Professional		$109.52	$126.00	$128.85
Medcost Facility/Professional Facility Modifier Low / Median / High Price $76.47 / $127.00 / $216.91	Facility		$76.47	$127.00	$216.91
Medcost Facility/Professional Professional Modifier Low / Median / High Price $98.00 / $98.00 / $106.00	Professional		$98.00	$98.00	$106.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $118.87 / $118.87 / $118.87	Professional		$118.87	$118.87	$118.87
United Facility/Professional Professional Modifier Low / Median / High Price $59.09 / $86.98 / $111.46	Professional		$59.09	$86.98	$111.46