Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $63.10 / $275.42	Facility		$44.67	$63.10	$275.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $44.67 / $46.77	Professional		$44.67	$44.67	$46.77
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $19.05 / $19.05	Professional		$18.20	$19.05	$19.05
BCBS Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $57.54 / $87.10	Facility		$45.71	$57.54	$87.10
BCBS Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $45.71 / $77.62	Professional		$42.66	$45.71	$77.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $114.82 / $257.04	Facility		$29.51	$114.82	$257.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $22.91 / $64.57	Professional		$21.38	$22.91	$64.57
Medcost Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $45.71 / $77.62	Facility		$42.66	$45.71	$77.62
Medcost Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $45.71 / $45.71	Professional		$45.71	$45.71	$45.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $45.71 / $56.23	Professional		$45.71	$45.71	$56.23
United Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $45.71 / $54.95	Facility		$40.74	$45.71	$54.95
United Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $38.02 / $45.71	Professional		$26.92	$38.02	$45.71