Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $36.00 / $185.30 / $537.59	Facility		$36.00	$185.30	$537.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.00 / $25.20 / $50.91	Professional		$19.00	$25.20	$50.91
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $38.40 / $51.81 / $51.81	Professional		$38.40	$51.81	$51.81
BCBS Facility/Professional Facility Modifier Low / Median / High Price $36.21 / $89.81 / $167.67	Facility		$36.21	$89.81	$167.67
BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.00 / $30.63 / $38.00	Professional		$24.00	$30.63	$38.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $63.86 / $101.87 / $239.03	Facility		$63.86	$101.87	$239.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.59 / $26.06 / $108.35	Professional		$18.59	$26.06	$108.35
Medcost Facility/Professional Facility Modifier Low / Median / High Price $22.73 / $31.68 / $56.01	Facility		$22.73	$31.68	$56.01
Medcost Facility/Professional Professional Modifier Low / Median / High Price $18.00 / $37.85 / $76.00	Professional		$18.00	$37.85	$76.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $54.68	Professional		$30.00	$30.00	$54.68
United Facility/Professional Professional Modifier Low / Median / High Price $15.75 / $24.46 / $43.42	Professional		$15.75	$24.46	$43.42