Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.23 / $96.43 / $532.76	Facility		$17.23	$96.43	$532.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.06 / $14.93 / $20.07	Professional		$14.06	$14.93	$20.07
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $11.65 / $11.65 / $11.65	Professional		$11.65	$11.65	$11.65
BCBS Facility/Professional Facility Modifier Low / Median / High Price $26.20 / $86.15 / $160.96	Facility		$26.20	$86.15	$160.96
BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.00 / $16.77 / $22.93	Professional		$15.00	$16.77	$22.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.48 / $48.61 / $100.75	Facility		$30.48	$48.61	$100.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.55 / $10.55 / $24.26	Professional		$8.55	$10.55	$24.26
Medcost Facility/Professional Facility Modifier Low / Median / High Price $8.33 / $15.09 / $31.29	Facility		$8.33	$15.09	$31.29
Medcost Facility/Professional Professional Modifier Low / Median / High Price $8.52 / $19.00 / $25.37	Professional		$8.52	$19.00	$25.37
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.22 / $9.22 / $13.28	Professional		$9.22	$9.22	$13.28
United Facility/Professional Facility Modifier Low / Median / High Price $16.77 / $16.77 / $16.77	Facility		$16.77	$16.77	$16.77
United Facility/Professional Professional Modifier Low / Median / High Price $4.58 / $9.57 / $19.14	Professional		$4.58	$9.57	$19.14