Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.44 / $292.25 / $612.05	Facility		$25.44	$292.25	$612.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.29 / $25.44 / $43.38	Professional		$17.29	$25.44	$43.38
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $35.07 / $35.07 / $35.07	Professional		$35.07	$35.07	$35.07
BCBS Facility/Professional Facility Modifier Low / Median / High Price $63.91 / $137.13 / $236.49	Facility		$63.91	$137.13	$236.49
BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.61 / $40.00 / $82.00	Professional		$32.61	$40.00	$82.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $59.28 / $94.55 / $197.54	Facility		$59.28	$94.55	$197.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $31.85 / $46.98	Professional		$16.60	$31.85	$46.98
Medcost Facility/Professional Facility Modifier Low / Median / High Price $25.44 / $37.64 / $95.88	Facility		$25.44	$37.64	$95.88
Medcost Facility/Professional Professional Modifier Low / Median / High Price $44.82 / $46.70 / $60.00	Professional		$44.82	$46.70	$60.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $17.94 / $17.94 / $25.84	Professional		$17.94	$17.94	$25.84
United Facility/Professional Professional Modifier Low / Median / High Price $13.70 / $19.57 / $45.56	Professional		$13.70	$19.57	$45.56