Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.95 / $97.47 / $195.05	Facility		$16.95	$97.47	$195.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.07 / $19.41 / $25.98	Professional		$16.07	$19.41	$25.98
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $10.87 / $10.87 / $10.87	Professional		$10.87	$10.87	$10.87
BCBS Facility/Professional Facility Modifier Low / Median / High Price $28.14 / $106.72 / $231.80	Facility		$28.14	$106.72	$231.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.73 / $30.00 / $55.00	Professional		$21.73	$30.00	$55.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.52 / $62.98 / $130.38	Facility		$11.52	$62.98	$130.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.01 / $13.61 / $30.98	Professional		$11.01	$13.61	$30.98
Medcost Facility/Professional Facility Modifier Low / Median / High Price $16.95 / $25.09 / $42.50	Facility		$16.95	$25.09	$42.50
Medcost Facility/Professional Professional Modifier Low / Median / High Price $24.00 / $31.13 / $40.00	Professional		$24.00	$31.13	$40.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $11.95 / $11.95 / $17.21	Professional		$11.95	$11.95	$17.21
United Facility/Professional Professional Modifier Low / Median / High Price $9.13 / $14.79 / $39.11	Professional		$9.13	$14.79	$39.11