Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.23 / $103.17 / $169.84	Facility		$18.23	$103.17	$169.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.53 / $13.00 / $17.51	Professional		$12.53	$13.00	$17.51
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $14.59 / $14.59 / $14.59	Professional		$14.59	$14.59	$14.59
BCBS Facility/Professional Facility Modifier Low / Median / High Price $25.13 / $59.92 / $105.79	Facility		$25.13	$59.92	$105.79
BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.59 / $39.20 / $47.04	Professional		$14.59	$39.20	$47.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7.73 / $42.28 / $88.90	Facility		$7.73	$42.28	$88.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.40 / $9.19 / $21.17	Professional		$7.40	$9.19	$21.17
Medcost Facility/Professional Facility Modifier Low / Median / High Price $11.38 / $16.85 / $28.53	Facility		$11.38	$16.85	$28.53
Medcost Facility/Professional Professional Modifier Low / Median / High Price $16.00 / $20.89 / $27.00	Professional		$16.00	$20.89	$27.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.02 / $8.02 / $11.56	Professional		$8.02	$8.02	$11.56
United Facility/Professional Professional Modifier Low / Median / High Price $6.13 / $9.17 / $17.51	Professional		$6.13	$9.17	$17.51