Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.80 / $53.55 / $108.57	Facility		$14.80	$53.55	$108.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.03 / $16.54 / $17.21	Professional		$14.03	$16.54	$17.21
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $13.18 / $13.18	Professional		$13.18	$13.18	$13.18
BCBS Facility/Professional Facility Modifier Low / Median / High Price $23.81 / $53.49 / $111.70	Facility		$23.81	$53.49	$111.70
BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.97 / $28.00 / $36.72	Professional		$18.97	$28.00	$36.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.47 / $54.99 / $114.58	Facility		$34.47	$54.99	$114.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.52 / $11.95 / $27.36	Professional		$9.52	$11.95	$27.36
Medcost Facility/Professional Facility Modifier Low / Median / High Price $13.86 / $18.02 / $35.32	Facility		$13.86	$18.02	$35.32
Medcost Facility/Professional Professional Modifier Low / Median / High Price $17.19 / $22.00 / $28.69	Professional		$17.19	$22.00	$28.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.43 / $10.43 / $15.02	Professional		$10.43	$10.43	$15.02
United Facility/Professional Professional Modifier Low / Median / High Price $7.97 / $11.38 / $24.89	Professional		$7.97	$11.38	$24.89