Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $102.33 / $269.15	Facility		$22.91	$102.33	$269.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $26.30 / $34.67	Professional		$22.91	$26.30	$34.67
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $20.42 / $20.42	Professional		$19.50	$20.42	$20.42
BCBS Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $158.49 / $295.12	Facility		$60.26	$158.49	$295.12
BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $37.15 / $64.57	Professional		$29.51	$37.15	$64.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $74.13 / $245.47	Facility		$19.05	$74.13	$245.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $18.62 / $42.66	Professional		$13.18	$18.62	$42.66
Medcost Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $33.88 / $79.43	Facility		$22.91	$33.88	$79.43
United Facility/Professional Facility Modifier Low / Median / High Price $26.30 / $29.51 / $35.48	Facility		$26.30	$29.51	$35.48
United Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $20.42 / $41.69	Professional		$12.30	$20.42	$41.69