Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.38 / $77.62 / $199.53	Facility		$17.38	$77.62	$199.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $15.85 / $51.29	Professional		$12.88	$15.85	$51.29
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $12.30 / $12.30	Professional		$10.72	$12.30	$12.30
BCBS Facility/Professional Facility Modifier Low / Median / High Price $23.44 / $67.61 / $147.91	Facility		$23.44	$67.61	$147.91
BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $25.12 / $30.90	Professional		$17.78	$25.12	$30.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.48 / $45.71 / $128.82	Facility		$11.48	$45.71	$128.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $19.95 / $21.38	Professional		$16.98	$19.95	$21.38
Medcost Facility/Professional Facility Modifier Low / Median / High Price $14.79 / $18.62 / $34.67	Facility		$14.79	$18.62	$34.67
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $16.22 / $17.78 / $21.38	Facility		$16.22	$17.78	$21.38
United Facility/Professional Professional Modifier Low / Median / High Price $7.41 / $10.72 / $21.38	Professional		$7.41	$10.72	$21.38