Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.17 / $99.26 / $205.91	Facility		$16.17	$99.26	$205.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.87 / $12.82 / $17.57	Professional		$10.87	$12.82	$17.57
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $7.35 / $10.21 / $15.80	Professional		$7.35	$10.21	$15.80
BCBS Facility/Professional Facility Modifier Low / Median / High Price $31.24 / $73.34 / $124.63	Facility		$31.24	$73.34	$124.63
BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.70 / $19.00 / $37.00	Professional		$14.70	$19.00	$37.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7.79 / $42.64 / $88.90	Facility		$7.79	$42.64	$88.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.40 / $9.19 / $21.17	Professional		$7.40	$9.19	$21.17
Medcost Facility/Professional Facility Modifier Low / Median / High Price $11.47 / $16.98 / $28.76	Facility		$11.47	$16.98	$28.76
Medcost Facility/Professional Professional Modifier Low / Median / High Price $16.00 / $21.06 / $27.00	Professional		$16.00	$21.06	$27.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.09 / $8.09 / $11.64	Professional		$8.09	$8.09	$11.64
United Facility/Professional Professional Modifier Low / Median / High Price $6.17 / $8.82 / $30.48	Professional		$6.17	$8.82	$30.48