Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.97 / $75.97 / $75.97	Facility		$75.97	$75.97	$75.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.58 / $75.97 / $83.20	Professional		$31.58	$75.97	$83.20
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $48.40 / $48.40 / $48.40	Professional		$48.40	$48.40	$48.40
BCBS Facility/Professional Professional Modifier Low / Median / High Price $95.02 / $99.77 / $172.31	Professional		$95.02	$99.77	$172.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $111.35 / $111.35 / $111.35	Facility		$111.35	$111.35	$111.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.77 / $38.77 / $38.77	Professional		$38.77	$38.77	$38.77
Medcost Facility/Professional Facility Modifier Low / Median / High Price $64.75 / $90.18 / $165.68	Facility		$64.75	$90.18	$165.68
Medcost Facility/Professional Professional Modifier Low / Median / High Price $81.69 / $81.69 / $81.69	Professional		$81.69	$81.69	$81.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $3,000.00 / $3,000.00 / $3,000.00	Professional		$3,000.00	$3,000.00	$3,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $31.60 / $46.98 / $58.78	Professional		$31.60	$46.98	$58.78