Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $37.10 / $198.45 / $780.00	Facility		$37.10	$198.45	$780.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.60 / $66.30 / $143.82	Professional		$15.60	$66.30	$143.82
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $12.46 / $12.46 / $32.09	Professional		$12.46	$12.46	$32.09
BCBS Facility/Professional Facility Modifier Low / Median / High Price $40.25 / $95.89 / $192.29	Facility		$40.25	$95.89	$192.29
BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.93 / $23.00 / $45.00	Professional		$17.93	$23.00	$45.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9.50 / $51.96 / $102.19	Facility		$9.50	$51.96	$102.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.03 / $11.29 / $25.81	Professional		$9.03	$11.29	$25.81
Medcost Facility/Professional Facility Modifier Low / Median / High Price $13.99 / $20.71 / $35.08	Facility		$13.99	$20.71	$35.08
Medcost Facility/Professional Professional Modifier Low / Median / High Price $14.00 / $25.69 / $33.00	Professional		$14.00	$25.69	$33.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.86 / $9.86 / $14.20	Professional		$9.86	$9.86	$14.20
United Facility/Professional Professional Modifier Low / Median / High Price $7.53 / $11.55 / $25.06	Professional		$7.53	$11.55	$25.06