Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.45 / $74.13 / $190.55	Facility		$14.45	$74.13	$190.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $15.14 / $41.69	Professional		$12.02	$15.14	$41.69
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $11.75 / $11.75	Professional		$10.00	$11.75	$11.75
BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $87.10 / $165.96	Facility		$19.05	$87.10	$165.96
BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $25.12 / $34.67	Professional		$17.38	$25.12	$34.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.96 / $42.66 / $104.71	Facility		$10.96	$42.66	$104.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.59 / $10.47 / $23.99	Professional		$7.59	$10.47	$23.99
Medcost Facility/Professional Facility Modifier Low / Median / High Price $13.18 / $19.50 / $44.67	Facility		$13.18	$19.50	$44.67
United Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $16.98 / $20.42	Facility		$15.14	$16.98	$20.42
United Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $10.47 / $23.44	Professional		$7.08	$10.47	$23.44