Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $89.13 / $363.08	Facility		$21.88	$89.13	$363.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $19.50 / $30.20	Professional		$16.98	$19.50	$30.20
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $15.49 / $15.49	Professional		$13.49	$15.49	$15.49
BCBS Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $154.88 / $302.00	Facility		$47.86	$154.88	$302.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $30.90 / $50.12	Professional		$23.44	$30.90	$50.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.45 / $56.23 / $302.00	Facility		$14.45	$56.23	$302.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $22.91 / $25.70	Professional		$19.05	$22.91	$25.70
Medcost Facility/Professional Facility Modifier Low / Median / High Price $18.62 / $25.70 / $48.98	Facility		$18.62	$25.70	$48.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $22.39 / $26.92	Facility		$19.95	$22.39	$26.92
United Facility/Professional Professional Modifier Low / Median / High Price $9.33 / $13.49 / $30.20	Professional		$9.33	$13.49	$30.20