Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $114.82 / $125.89	Professional		$75.86	$114.82	$125.89
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $109.65 / $114.82	Professional		$109.65	$109.65	$114.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $154.88 / $234.42	Professional		$144.54	$154.88	$234.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $58.88 / $58.88	Professional		$58.88	$58.88	$58.88
Medcost Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $120.23 / $162.18	Facility		$91.20	$120.23	$162.18
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 Professional Modifier Low / Median / High Price $50.12 / $67.61 / $89.13	Professional		$50.12	$67.61	$89.13