Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.39 / $125.29 / $248.49	Facility		$16.39	$125.29	$248.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.78 / $16.54 / $22.75	Professional		$14.78	$16.54	$22.75
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $10.43 / $10.43 / $10.43	Professional		$10.43	$10.43	$10.43
BCBS Facility/Professional Facility Modifier Low / Median / High Price $38.15 / $100.90 / $174.59	Facility		$38.15	$100.90	$174.59
BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.96 / $28.00 / $48.00	Professional		$18.96	$28.00	$48.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.45 / $54.95 / $114.58	Facility		$34.45	$54.95	$114.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.52 / $14.58 / $53.35	Professional		$9.52	$14.58	$53.35
Medcost Facility/Professional Facility Modifier Low / Median / High Price $14.79 / $21.91 / $37.11	Facility		$14.79	$21.91	$37.11
Medcost Facility/Professional Professional Modifier Low / Median / High Price $21.00 / $27.17 / $35.00	Professional		$21.00	$27.17	$35.00
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 $7.96 / $11.38 / $26.51	Professional		$7.96	$11.38	$26.51