Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $26.92 / $26.92	Facility		$26.92	$26.92	$26.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $37.15 / $213.80	Professional		$25.70	$37.15	$213.80
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $26.30 / $26.30	Professional		$26.30	$26.30	$26.30
BCBS Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $223.87 / $223.87	Facility		$223.87	$223.87	$223.87
BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $45.71 / $169.82	Professional		$33.88	$45.71	$169.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $446.68 / $446.68	Facility		$83.18	$446.68	$446.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $47.86 / $83.18	Professional		$33.11	$47.86	$83.18
Medcost Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $50.12 / $123.03	Facility		$28.18	$50.12	$123.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
United Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $38.90 / $75.86	Professional		$28.84	$38.90	$75.86