Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.63 / $151.63 / $420.28	Facility		$29.63	$151.63	$420.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.96 / $16.54 / $24.63	Professional		$12.96	$16.54	$24.63
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $9.26 / $9.26 / $18.52	Professional		$9.26	$9.26	$18.52
BCBS Facility/Professional Facility Modifier Low / Median / High Price $37.00 / $92.17 / $181.51	Facility		$37.00	$92.17	$181.51
BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.00 / $21.00 / $47.00	Professional		$20.00	$21.00	$47.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9.82 / $53.70 / $105.61	Facility		$9.82	$53.70	$105.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.36 / $14.24 / $26.33	Professional		$9.36	$14.24	$26.33
Medcost Facility/Professional Facility Modifier Low / Median / High Price $14.45 / $21.38 / $36.22	Facility		$14.45	$21.38	$36.22
Medcost Facility/Professional Professional Modifier Low / Median / High Price $20.00 / $26.53 / $34.00	Professional		$20.00	$26.53	$34.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.19 / $10.19 / $14.67	Professional		$10.19	$10.19	$14.67
United Facility/Professional Professional Modifier Low / Median / High Price $7.78 / $11.11 / $22.22	Professional		$7.78	$11.11	$22.22