Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $204.17 / $354.81	Facility		$19.50	$204.17	$354.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $17.38 / $30.20	Professional		$14.13	$17.38	$30.20
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $8.71 / $13.49 / $13.49	Professional		$8.71	$13.49	$13.49
BCBS Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $134.90 / $234.42	Facility		$64.57	$134.90	$234.42
BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $26.92 / $33.88	Professional		$19.50	$26.92	$33.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.88 / $47.86 / $112.20	Facility		$12.88	$47.86	$112.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $12.30 / $28.18	Professional		$8.91	$12.30	$28.18
Medcost Facility/Professional Facility Modifier Low / Median / High Price $14.79 / $19.50 / $32.36	Facility		$14.79	$19.50	$32.36
United Facility/Professional Facility Modifier Low / Median / High Price $17.78 / $19.50 / $23.44	Facility		$17.78	$19.50	$23.44
United Facility/Professional Professional Modifier Low / Median / High Price $8.32 / $12.59 / $27.54	Professional		$8.32	$12.59	$27.54