Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $76.20 / $254.19 / $871.99	Facility		$76.20	$254.19	$871.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.49 / $38.11 / $55.61	Professional		$36.49	$38.11	$55.61
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $23.82 / $33.08 / $51.20	Professional		$23.82	$33.08	$51.20
BCBS Facility/Professional Facility Modifier Low / Median / High Price $73.40 / $214.84 / $432.09	Facility		$73.40	$214.84	$432.09
BCBS Facility/Professional Professional Modifier Low / Median / High Price $47.63 / $51.21 / $111.00	Professional		$47.63	$51.21	$111.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $86.56 / $138.08 / $286.44	Facility		$86.56	$138.08	$286.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.16 / $35.19 / $68.15	Professional		$24.16	$35.19	$68.15
Medcost Facility/Professional Facility Modifier Low / Median / High Price $37.11 / $51.14 / $100.93	Facility		$37.11	$51.14	$100.93
Medcost Facility/Professional Professional Modifier Low / Median / High Price $63.44 / $66.75 / $81.00	Professional		$63.44	$66.75	$81.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $26.20 / $26.20 / $37.72	Professional		$26.20	$26.20	$37.72
United Facility/Professional Professional Modifier Low / Median / High Price $20.00 / $32.33 / $66.54	Professional		$20.00	$32.33	$66.54