Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.10 / $122.36 / $196.00	Facility		$27.10	$122.36	$196.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.86 / $14.78 / $20.92	Professional		$11.86	$14.78	$20.92
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $8.47 / $8.47 / $18.21	Professional		$8.47	$8.47	$18.21
BCBS Facility/Professional Facility Modifier Low / Median / High Price $37.82 / $80.56 / $168.49	Facility		$37.82	$80.56	$168.49
BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.94 / $20.00 / $43.00	Professional		$16.94	$20.00	$43.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8.98 / $49.10 / $101.95	Facility		$8.98	$49.10	$101.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.55 / $13.02 / $47.60	Professional		$8.55	$13.02	$47.60
Medcost Facility/Professional Facility Modifier Low / Median / High Price $13.21 / $19.55 / $33.14	Facility		$13.21	$19.55	$33.14
Medcost Facility/Professional Professional Modifier Low / Median / High Price $19.00 / $24.26 / $31.00	Professional		$19.00	$24.26	$31.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.32 / $9.32 / $13.42	Professional		$9.32	$9.32	$13.42
United Facility/Professional Professional Modifier Low / Median / High Price $7.11 / $10.16 / $23.67	Professional		$7.11	$10.16	$23.67