Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $55.10 / $199.92 / $449.23	Facility		$55.10	$199.92	$449.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.25 / $30.78 / $40.60	Professional		$30.25	$30.78	$40.60
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $21.59 / $39.26 / $39.26	Professional		$21.59	$39.26	$39.26
BCBS Facility/Professional Facility Modifier Low / Median / High Price $61.10 / $122.44 / $234.15	Facility		$61.10	$122.44	$234.15
BCBS Facility/Professional Professional Modifier Low / Median / High Price $47.00 / $60.00 / $85.00	Professional		$47.00	$60.00	$85.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $20.81 / $113.82 / $223.86	Facility		$20.81	$113.82	$223.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.91 / $26.10 / $95.20	Professional		$17.91	$26.10	$95.20
Medcost Facility/Professional Facility Modifier Low / Median / High Price $29.45 / $39.26 / $64.03	Facility		$29.45	$39.26	$64.03
Medcost Facility/Professional Professional Modifier Low / Median / High Price $46.66 / $48.62 / $62.00	Professional		$46.66	$48.62	$62.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $21.59 / $21.59 / $31.09	Professional		$21.59	$21.59	$31.09
United Facility/Professional Facility Modifier Low / Median / High Price $35.33 / $35.33 / $47.11	Facility		$35.33	$35.33	$47.11
United Facility/Professional Professional Modifier Low / Median / High Price $16.48 / $23.56 / $47.43	Professional		$16.48	$23.56	$47.43