Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.04 / $134.30 / $960.36	Facility		$20.04	$134.30	$960.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.44 / $19.32 / $26.60	Professional		$16.44	$19.32	$26.60
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $11.12 / $11.12 / $12.23	Professional		$11.12	$11.12	$12.23
BCBS Facility/Professional Facility Modifier Low / Median / High Price $62.50 / $144.00 / $257.04	Facility		$62.50	$144.00	$257.04
BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.23 / $30.00 / $56.00	Professional		$22.23	$30.00	$56.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.78 / $64.45 / $126.76	Facility		$11.78	$64.45	$126.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.34 / $13.95 / $32.01	Professional		$11.34	$13.95	$32.01
Medcost Facility/Professional Facility Modifier Low / Median / High Price $17.34 / $25.67 / $43.50	Facility		$17.34	$25.67	$43.50
Medcost Facility/Professional Professional Modifier Low / Median / High Price $25.00 / $31.85 / $41.00	Professional		$25.00	$31.85	$41.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $12.23 / $12.23 / $17.61	Professional		$12.23	$12.23	$17.61
United Facility/Professional Professional Modifier Low / Median / High Price $9.34 / $13.34 / $31.07	Professional		$9.34	$13.34	$31.07