Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $58.04 / $294.82 / $941.64	Facility		$58.04	$294.82	$941.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.50 / $56.40 / $67.84	Professional		$43.50	$56.40	$67.84
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $31.07 / $31.07 / $62.14	Professional		$31.07	$31.07	$62.14
BCBS Facility/Professional Facility Modifier Low / Median / High Price $207.91 / $266.45 / $472.78	Facility		$207.91	$266.45	$472.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $62.14 / $80.00 / $102.94	Professional		$62.14	$80.00	$102.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $32.93 / $180.14 / $415.39	Facility		$32.93	$180.14	$415.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.42 / $37.78 / $89.31	Professional		$29.42	$37.78	$89.31
Medcost Facility/Professional Facility Modifier Low / Median / High Price $32.93 / $52.50 / $82.40	Facility		$32.93	$52.50	$82.40
Medcost Facility/Professional Professional Modifier Low / Median / High Price $71.83 / $79.81 / $79.81	Professional		$71.83	$79.81	$79.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $34.18 / $34.18 / $49.21	Professional		$34.18	$34.18	$49.21
United Facility/Professional Professional Modifier Low / Median / High Price $26.10 / $39.90 / $111.85	Professional		$26.10	$39.90	$111.85