Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.76 / $77.12 / $102.11	Facility		$13.76	$77.12	$102.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.77 / $15.47 / $15.71	Professional		$13.77	$15.47	$15.71
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $12.03 / $12.03 / $12.03	Professional		$12.03	$12.03	$12.03
BCBS Facility/Professional Facility Modifier Low / Median / High Price $28.49 / $87.77 / $176.34	Facility		$28.49	$87.77	$176.34
BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.64 / $19.00 / $44.00	Professional		$17.64	$19.00	$44.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $32.07 / $51.16 / $106.67	Facility		$32.07	$51.16	$106.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.71 / $10.89 / $25.81	Professional		$8.71	$10.89	$25.81
Medcost Facility/Professional Facility Modifier Low / Median / High Price $13.77 / $20.00 / $33.88	Facility		$13.77	$20.00	$33.88
Medcost Facility/Professional Professional Modifier Low / Median / High Price $17.00 / $21.58 / $32.00	Professional		$17.00	$21.58	$32.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.71 / $9.71 / $13.98	Professional		$9.71	$9.71	$13.98
United Facility/Professional Professional Modifier Low / Median / High Price $7.41 / $10.59 / $24.20	Professional		$7.41	$10.59	$24.20