Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.29 / $186.69 / $821.88	Facility		$41.29	$186.69	$821.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.07 / $22.09 / $30.87	Professional		$18.07	$22.09	$30.87
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $12.91 / $12.91 / $27.75	Professional		$12.91	$12.91	$27.75
BCBS Facility/Professional Facility Modifier Low / Median / High Price $51.44 / $118.92 / $218.92	Facility		$51.44	$118.92	$218.92
BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.81 / $30.00 / $65.00	Professional		$25.81	$30.00	$65.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.68 / $74.84 / $147.19	Facility		$13.68	$74.84	$147.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.15 / $19.85 / $73.05	Professional		$13.15	$19.85	$73.05
Medcost Facility/Professional Facility Modifier Low / Median / High Price $20.13 / $29.81 / $50.51	Facility		$20.13	$29.81	$50.51
Medcost Facility/Professional Professional Modifier Low / Median / High Price $29.00 / $36.97 / $47.00	Professional		$29.00	$36.97	$47.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $14.20 / $14.20 / $20.44	Professional		$14.20	$14.20	$20.44
United Facility/Professional Professional Modifier Low / Median / High Price $10.84 / $15.49 / $53.52	Professional		$10.84	$15.49	$53.52