Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.35 / $108.48 / $157.25	Facility		$13.35	$108.48	$157.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.35 / $14.88 / $15.48	Professional		$13.35	$14.88	$15.48
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $9.42 / $11.89 / $11.89	Professional		$9.42	$11.89	$11.89
BCBS Facility/Professional Facility Modifier Low / Median / High Price $29.59 / $66.20 / $116.95	Facility		$29.59	$66.20	$116.95
BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.12 / $35.00 / $45.45	Professional		$17.12	$35.00	$45.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9.07 / $49.64 / $102.72	Facility		$9.07	$49.64	$102.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.71 / $10.72 / $24.78	Professional		$8.71	$10.72	$24.78
Medcost Facility/Professional Facility Modifier Low / Median / High Price $13.35 / $19.79 / $33.52	Facility		$13.35	$19.79	$33.52
Medcost Facility/Professional Professional Modifier Low / Median / High Price $18.00 / $23.33 / $32.00	Professional		$18.00	$23.33	$32.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.42 / $9.42 / $13.56	Professional		$9.42	$9.42	$13.56
United Facility/Professional Professional Modifier Low / Median / High Price $7.19 / $10.27 / $23.94	Professional		$7.19	$10.27	$23.94