Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.71 / $188.87 / $364.81	Facility		$26.71	$188.87	$364.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.48 / $25.57 / $32.29	Professional		$23.48	$25.57	$32.29
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $20.38 / $20.38 / $20.38	Professional		$20.38	$20.38	$20.38
BCBS Facility/Professional Facility Modifier Low / Median / High Price $34.78 / $66.39 / $214.55	Facility		$34.78	$66.39	$214.55
BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.35 / $41.00 / $56.00	Professional		$29.35	$41.00	$56.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $53.35 / $85.10 / $177.79	Facility		$53.35	$85.10	$177.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.57 / $27.69 / $42.33	Professional		$22.57	$27.69	$42.33
Medcost Facility/Professional Facility Modifier Low / Median / High Price $22.89 / $30.82 / $54.50	Facility		$22.89	$30.82	$54.50
Medcost Facility/Professional Professional Modifier Low / Median / High Price $40.34 / $42.04 / $53.30	Professional		$40.34	$42.04	$53.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $16.14 / $16.14 / $23.25	Professional		$16.14	$16.14	$23.25
United Facility/Professional Professional Modifier Low / Median / High Price $12.33 / $20.17 / $38.49	Professional		$12.33	$20.17	$38.49