Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.96 / $107.56 / $196.95	Facility		$33.96	$107.56	$196.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.92 / $18.47 / $20.53	Professional		$15.92	$18.47	$20.53
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $14.74 / $14.74 / $38.00	Professional		$14.74	$14.74	$38.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $33.68 / $82.69 / $201.75	Facility		$33.68	$82.69	$201.75
BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.23 / $52.00 / $62.40	Professional		$21.23	$52.00	$62.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.58 / $61.55 / $128.40	Facility		$38.58	$61.55	$128.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.68 / $13.30 / $30.46	Professional		$10.68	$13.30	$30.46
Medcost Facility/Professional Facility Modifier Low / Median / High Price $16.55 / $24.52 / $41.54	Facility		$16.55	$24.52	$41.54
Medcost Facility/Professional Professional Modifier Low / Median / High Price $23.00 / $30.41 / $39.00	Professional		$23.00	$30.41	$39.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $11.68 / $11.68 / $16.80	Professional		$11.68	$11.68	$16.80
United Facility/Professional Facility Modifier Low / Median / High Price $19.11 / $19.11 / $25.48	Facility		$19.11	$19.11	$25.48
United Facility/Professional Professional Modifier Low / Median / High Price $8.92 / $12.74 / $29.67	Professional		$8.92	$12.74	$29.67