Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.45 / $75.00 / $131.88	Facility		$16.45	$75.00	$131.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.71 / $15.24 / $30.26	Professional		$13.71	$15.24	$30.26
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $10.55 / $10.55 / $10.55	Professional		$10.55	$10.55	$10.55
BCBS Facility/Professional Facility Modifier Low / Median / High Price $23.14 / $57.61 / $138.76	Facility		$23.14	$57.61	$138.76
BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.30 / $20.23 / $28.84	Professional		$18.30	$20.23	$28.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.38 / $61.15 / $123.32	Facility		$10.38	$61.15	$123.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.66 / $9.74 / $30.46	Professional		$9.66	$9.74	$30.46
Medcost Facility/Professional Facility Modifier Low / Median / High Price $14.76 / $18.98 / $28.76	Facility		$14.76	$18.98	$28.76
Medcost Facility/Professional Professional Modifier Low / Median / High Price $15.45 / $20.00 / $23.43	Professional		$15.45	$20.00	$23.43
Molina Facility/Professional Professional Modifier Low / Median / High Price $11.60 / $11.60 / $16.70	Professional		$11.60	$11.60	$16.70
United Facility/Professional Professional Modifier Low / Median / High Price $7.42 / $12.03 / $25.31	Professional		$7.42	$12.03	$25.31