Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.62 / $96.00 / $257.58	Facility		$12.62	$96.00	$257.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.53 / $11.79 / $16.28	Professional		$9.53	$11.79	$16.28
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $6.82 / $9.47 / $14.65	Professional		$6.82	$9.47	$14.65
BCBS Facility/Professional Facility Modifier Low / Median / High Price $25.00 / $69.92 / $128.56	Facility		$25.00	$69.92	$128.56
BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.05 / $18.00 / $34.00	Professional		$6.05	$18.00	$34.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7.22 / $39.52 / $77.72	Facility		$7.22	$39.52	$77.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.90 / $8.51 / $19.62	Professional		$6.90	$8.51	$19.62
Medcost Facility/Professional Facility Modifier Low / Median / High Price $10.63 / $15.73 / $26.64	Facility		$10.63	$15.73	$26.64
Medcost Facility/Professional Professional Modifier Low / Median / High Price $12.00 / $19.51 / $25.00	Professional		$12.00	$19.51	$25.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $7.50 / $7.50 / $10.79	Professional		$7.50	$7.50	$10.79
United Facility/Professional Professional Modifier Low / Median / High Price $5.72 / $8.40 / $28.25	Professional		$5.72	$8.40	$28.25