Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $165.96 / $181.97	Facility		$43.65	$165.96	$181.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $52.48 / $120.23	Professional		$40.74	$52.48	$120.23
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $51.29 / $87.10	Professional		$38.90	$51.29	$87.10
BCBS Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $134.90 / $269.15	Facility		$69.18	$134.90	$269.15
BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $54.95 / $77.62	Professional		$25.12	$54.95	$77.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $295.12 / $446.68	Facility		$87.10	$295.12	$446.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $57.54 / $91.20	Professional		$30.90	$57.54	$91.20
Medcost Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Professional		$100.00	$100.00	$100.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $63.10 / $114.82	Facility		$41.69	$63.10	$114.82
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 Facility Modifier Low / Median / High Price $81.28 / $363.08 / $562.34	Facility		$81.28	$363.08	$562.34
United Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $51.29 / $97.72	Professional		$34.67	$51.29	$97.72