Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $51.29 / $51.29	Facility		$51.29	$51.29	$51.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $56.23 / $93.33	Professional		$47.86	$56.23	$93.33
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $213.80 / $213.80	Professional		$213.80	$213.80	$213.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $123.03 / $158.49	Professional		$117.49	$123.03	$158.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $24.55 / $91.20 / $181.97	Facility		$24.55	$91.20	$181.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $77.62 / $131.83	Professional		$77.62	$77.62	$131.83
Medcost Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $57.54 / $74.13	Professional		$57.54	$57.54	$74.13
Medcost Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $85.11 / $177.83	Facility		$51.29	$85.11	$177.83
Medcost Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $33.11 / $33.11	Professional		$33.11	$33.11	$33.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $30.20	Professional		$30.20	$30.20	$30.20
United Facility/Professional Facility Modifier Low / Median / High Price $0.08 / $75.86 / $138.04	Facility		$0.08	$75.86	$138.04
United Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $57.54 / $77.62	Professional		$42.66	$57.54	$77.62