Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.62 / $145.41 / $731.16	Facility		$52.62	$145.41	$731.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.29 / $12.48 / $46.16	Professional		$11.29	$12.48	$46.16
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $30.91 / $30.91 / $30.91	Professional		$30.91	$30.91	$30.91
BCBS Facility/Professional Facility Modifier Low / Median / High Price $27.09 / $72.06 / $173.01	Facility		$27.09	$72.06	$173.01
BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.00 / $25.00 / $35.03	Professional		$25.00	$25.00	$35.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $31.40 / $50.09 / $104.70	Facility		$31.40	$50.09	$104.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.89 / $8.17 / $24.78	Professional		$7.89	$8.17	$24.78
Medcost Facility/Professional Facility Modifier Low / Median / High Price $12.46 / $18.13 / $25.33	Facility		$12.46	$18.13	$25.33
Medcost Facility/Professional Professional Modifier Low / Median / High Price $14.00 / $18.54 / $24.00	Professional		$14.00	$18.54	$24.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.50 / $9.50 / $13.68	Professional		$9.50	$9.50	$13.68
United Facility/Professional Facility Modifier Low / Median / High Price $15.54 / $15.54 / $20.72	Facility		$15.54	$15.54	$20.72
United Facility/Professional Professional Modifier Low / Median / High Price $7.25 / $10.36 / $20.72	Professional		$7.25	$10.36	$20.72