Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.81 / $150.88 / $349.86	Facility		$28.81	$150.88	$349.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.74 / $16.59 / $22.94	Professional		$13.74	$16.59	$22.94
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $9.28 / $9.28 / $18.57	Professional		$9.28	$9.28	$18.57
BCBS Facility/Professional Facility Modifier Low / Median / High Price $35.50 / $91.67 / $191.14	Facility		$35.50	$91.67	$191.14
BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.00 / $24.15 / $47.00	Professional		$23.00	$24.15	$47.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9.85 / $53.88 / $105.97	Facility		$9.85	$53.88	$105.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.36 / $18.55 / $52.52	Professional		$9.36	$18.55	$52.52
Medcost Facility/Professional Facility Modifier Low / Median / High Price $14.49 / $21.46 / $36.36	Facility		$14.49	$21.46	$36.36
Medcost Facility/Professional Professional Modifier Low / Median / High Price $21.00 / $26.62 / $34.00	Professional		$21.00	$26.62	$34.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.22 / $10.22 / $14.72	Professional		$10.22	$10.22	$14.72
United Facility/Professional Professional Modifier Low / Median / High Price $7.80 / $11.15 / $38.54	Professional		$7.80	$11.15	$38.54