Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $81.28 / $338.84	Facility		$22.91	$81.28	$338.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $28.84 / $58.88	Professional		$19.05	$28.84	$58.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $31.62 / $31.62	Professional		$31.62	$31.62	$31.62
BCBS Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $245.47 / $457.09	Facility		$144.54	$245.47	$457.09
BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $29.51 / $50.12	Professional		$17.38	$29.51	$50.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $33.88 / $100.00	Facility		$33.88	$33.88	$100.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $44.67 / $67.61	Professional		$25.70	$44.67	$67.61
Medcost Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $67.61 / $79.43	Professional		$67.61	$67.61	$79.43
Medcost Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $41.69 / $85.11	Facility		$21.88	$41.69	$85.11
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 $288.40 / $1,174.90 / $3,548.13	Facility		$288.40	$1,174.90	$3,548.13
United Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $31.62 / $66.07	Professional		$18.62	$31.62	$66.07