Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.82 / $89.82 / $200.64	Facility		$17.82	$89.82	$200.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.26 / $15.54 / $19.61	Professional		$14.26	$15.54	$19.61
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $12.38 / $12.38 / $12.38	Professional		$12.38	$12.38	$12.38
BCBS Facility/Professional Facility Modifier Low / Median / High Price $26.12 / $81.31 / $197.21	Facility		$26.12	$81.31	$197.21
BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.82 / $25.00 / $33.22	Professional		$17.82	$25.00	$33.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $32.40 / $51.69 / $127.95	Facility		$32.40	$51.69	$127.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.71 / $20.17 / $26.85	Professional		$13.71	$20.17	$26.85
Medcost Facility/Professional Facility Modifier Low / Median / High Price $13.91 / $18.78 / $33.31	Facility		$13.91	$18.78	$33.31
Medcost Facility/Professional Professional Modifier Low / Median / High Price $24.52 / $25.54 / $32.40	Professional		$24.52	$25.54	$32.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.81 / $9.81 / $14.12	Professional		$9.81	$9.81	$14.12
United Facility/Professional Professional Modifier Low / Median / High Price $7.49 / $10.70 / $24.92	Professional		$7.49	$10.70	$24.92