Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.40 / $97.75 / $291.16	Facility		$45.40	$97.75	$291.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.10 / $21.78 / $23.08	Professional		$19.10	$21.78	$23.08
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $12.74 / $12.74 / $45.59	Professional		$12.74	$12.74	$45.59
BCBS Facility/Professional Facility Modifier Low / Median / High Price $52.99 / $110.53 / $209.94	Facility		$52.99	$110.53	$209.94
BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.47 / $49.00 / $64.00	Professional		$25.47	$49.00	$64.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.50 / $73.86 / $154.08	Facility		$13.50	$73.86	$154.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.98 / $16.00 / $36.65	Professional		$12.98	$16.00	$36.65
Medcost Facility/Professional Facility Modifier Low / Median / High Price $19.87 / $29.40 / $49.80	Facility		$19.87	$29.40	$49.80
Medcost Facility/Professional Professional Modifier Low / Median / High Price $26.00 / $36.47 / $47.00	Professional		$26.00	$36.47	$47.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $14.01 / $14.01 / $20.17	Professional		$14.01	$14.01	$20.17
United Facility/Professional Professional Modifier Low / Median / High Price $10.70 / $15.28 / $35.57	Professional		$10.70	$15.28	$35.57