Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $181.97 / $389.05	Facility		$28.18	$181.97	$389.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $25.70 / $120.23	Professional		$23.44	$25.70	$120.23
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $21.88 / $75.86	Professional		$14.45	$21.88	$75.86
BCBS Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $91.20 / $181.97	Facility		$40.74	$91.20	$181.97
BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $30.20 / $37.15	Professional		$23.99	$30.20	$37.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $89.13 / $263.03	Facility		$22.91	$89.13	$263.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $21.38 / $58.88	Professional		$18.62	$21.38	$58.88
Medcost Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $34.67 / $56.23	Facility		$22.91	$34.67	$56.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $30.20	Professional		$30.20	$30.20	$30.20
United Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $45.71 / $45.71	Facility		$45.71	$45.71	$45.71
United Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $23.44 / $43.65	Professional		$15.85	$23.44	$43.65