Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.50 / $95.90 / $249.98	Facility		$20.50	$95.90	$249.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.95 / $18.98 / $19.28	Professional		$15.95	$18.98	$19.28
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $10.63 / $10.63 / $22.85	Professional		$10.63	$10.63	$22.85
BCBS Facility/Professional Facility Modifier Low / Median / High Price $31.77 / $97.52 / $208.11	Facility		$31.77	$97.52	$208.11
BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.26 / $38.00 / $53.00	Professional		$21.26	$38.00	$53.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.64 / $61.64 / $170.13	Facility		$38.64	$61.64	$170.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.85 / $13.30 / $30.46	Professional		$10.85	$13.30	$30.46
Medcost Facility/Professional Facility Modifier Low / Median / High Price $16.57 / $24.54 / $41.58	Facility		$16.57	$24.54	$41.58
Medcost Facility/Professional Professional Modifier Low / Median / High Price $15.00 / $19.86 / $39.00	Professional		$15.00	$19.86	$39.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $11.69 / $11.69 / $16.84	Professional		$11.69	$11.69	$16.84
United Facility/Professional Professional Modifier Low / Median / High Price $8.93 / $12.76 / $29.70	Professional		$8.93	$12.76	$29.70