Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $50.12 / $70.79	Facility		$19.95	$50.12	$70.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $26.92 / $56.23	Professional		$15.85	$26.92	$56.23
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $85.11 / $102.33 / $107.15	Professional	50	$85.11	$102.33	$107.15
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $30.20 / $38.02	Professional		$25.12	$30.20	$38.02
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $45.71 / $45.71 / $45.71	Professional	50	$45.71	$45.71	$45.71
BCBS Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $257.04 / $457.09	Facility		$144.54	$257.04	$457.09
BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $30.90 / $46.77	Professional		$16.22	$30.90	$46.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $30.20 / $100.00	Facility		$22.91	$30.20	$100.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $39.81 / $60.26	Professional		$23.99	$39.81	$60.26
Medcost Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $61.66 / $63.10	Professional		$61.66	$61.66	$63.10
Medcost Facility/Professional Facility Modifier Low / Median / High Price $20.42 / $37.15 / $69.18	Facility		$20.42	$37.15	$69.18
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 $15.85 / $28.84 / $54.95	Professional		$15.85	$28.84	$54.95