Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.93 / $138.44 / $442.02	Facility		$52.93	$138.44	$442.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.14 / $19.13 / $19.95	Professional		$17.14	$19.13	$19.95
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $15.28 / $15.28 / $15.28	Professional		$15.28	$15.28	$15.28
BCBS Facility/Professional Facility Modifier Low / Median / High Price $37.60 / $106.26 / $188.09	Facility		$37.60	$106.26	$188.09
BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.99 / $25.00 / $55.00	Professional		$21.99	$25.00	$55.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $39.95 / $63.73 / $132.35	Facility		$39.95	$63.73	$132.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.18 / $13.78 / $31.49	Professional		$11.18	$13.78	$31.49
Medcost Facility/Professional Facility Modifier Low / Median / High Price $17.14 / $25.40 / $43.02	Facility		$17.14	$25.40	$43.02
Medcost Facility/Professional Professional Modifier Low / Median / High Price $24.00 / $31.51 / $40.00	Professional		$24.00	$31.51	$40.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $12.09 / $12.09 / $17.42	Professional		$12.09	$12.09	$17.42
United Facility/Professional Professional Modifier Low / Median / High Price $9.24 / $13.83 / $26.39	Professional		$9.24	$13.83	$26.39