Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.17 / $130.41 / $213.99	Facility		$18.17	$130.41	$213.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.66 / $16.80 / $18.79	Professional		$14.66	$16.80	$18.79
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $10.33 / $10.33 / $10.33	Professional		$10.33	$10.33	$10.33
BCBS Facility/Professional Facility Modifier Low / Median / High Price $47.62 / $95.87 / $179.24	Facility		$47.62	$95.87	$179.24
BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.79 / $21.00 / $45.00	Professional		$18.79	$21.00	$45.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.14 / $54.46 / $112.60	Facility		$34.14	$54.46	$112.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.52 / $11.78 / $26.85	Professional		$9.52	$11.78	$26.85
Medcost Facility/Professional Facility Modifier Low / Median / High Price $14.66 / $20.71 / $35.10	Facility		$14.66	$20.71	$35.10
Medcost Facility/Professional Professional Modifier Low / Median / High Price $21.00 / $25.84 / $33.00	Professional		$21.00	$25.84	$33.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.33 / $10.33 / $14.88	Professional		$10.33	$10.33	$14.88
United Facility/Professional Professional Modifier Low / Median / High Price $7.89 / $12.21 / $37.20	Professional		$7.89	$12.21	$37.20