Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $44.70 / $44.70 / $180.72	Facility		$44.70	$44.70	$180.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.14 / $48.17 / $94.18	Professional		$41.14	$48.17	$94.18
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $54.02 / $54.02 / $87.91	Professional		$54.02	$54.02	$87.91
BCBS Facility/Professional Facility Modifier Low / Median / High Price $87.14 / $154.21 / $274.43	Facility		$87.14	$154.21	$274.43
BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.00 / $47.41 / $63.84	Professional		$25.00	$47.41	$63.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $222.77 / $288.30 / $442.75	Facility		$222.77	$288.30	$442.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.10 / $55.74 / $111.73	Professional		$31.10	$55.74	$111.73
Medcost Facility/Professional Facility Modifier Low / Median / High Price $44.34 / $52.33 / $128.96	Facility		$44.34	$52.33	$128.96
Medcost Facility/Professional Professional Modifier Low / Median / High Price $197.65 / $197.65 / $197.65	Professional		$197.65	$197.65	$197.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $25.48 / $34.77 / $51.41	Professional		$25.48	$34.77	$51.41
United Facility/Professional Professional Modifier Low / Median / High Price $34.57 / $54.13 / $102.22	Professional		$34.57	$54.13	$102.22