Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $120.23 / $363.08	Facility		$33.88	$120.23	$363.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $45.71 / $87.10	Professional		$26.92	$45.71	$87.10
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $33.11 / $44.67	Professional		$26.30	$33.11	$44.67
BCBS Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $234.42 / $457.09	Facility		$112.20	$234.42	$457.09
BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $33.88 / $53.70	Professional		$25.70	$33.88	$53.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $48.98 / $100.00	Facility		$48.98	$48.98	$100.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $48.98 / $85.11	Professional		$32.36	$48.98	$85.11
Medcost Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $64.57 / $93.33	Professional		$64.57	$64.57	$93.33
Medcost Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $46.77 / $81.28	Facility		$30.20	$46.77	$81.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $33.11	Professional		$32.36	$33.11	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $1,174.90 / $3,548.13	Facility		$354.81	$1,174.90	$3,548.13
United Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $38.02 / $64.57	Professional		$25.12	$38.02	$64.57