Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $37.71 / $230.38 / $469.05	Facility		$37.71	$230.38	$469.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.55 / $24.96 / $34.49	Professional		$19.55	$24.96	$34.49
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $13.97 / $13.97 / $27.94	Professional		$13.97	$13.97	$27.94
BCBS Facility/Professional Facility Modifier Low / Median / High Price $41.96 / $118.16 / $223.37	Facility		$41.96	$118.16	$223.37
BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.94 / $29.26 / $70.00	Professional		$27.94	$29.26	$70.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.81 / $80.98 / $159.30	Facility		$14.81	$80.98	$159.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $17.53 / $39.75	Professional		$14.13	$17.53	$39.75
Medcost Facility/Professional Facility Modifier Low / Median / High Price $21.79 / $32.27 / $54.66	Facility		$21.79	$32.27	$54.66
Medcost Facility/Professional Professional Modifier Low / Median / High Price $26.00 / $34.11 / $51.00	Professional		$26.00	$34.11	$51.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $15.37 / $15.37 / $22.13	Professional		$15.37	$15.37	$22.13
United Facility/Professional Professional Modifier Low / Median / High Price $11.73 / $19.01 / $39.04	Professional		$11.73	$19.01	$39.04