Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $275.42 / $602.56	Facility		$89.13	$275.42	$602.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $32.36 / $87.10	Professional		$20.89	$32.36	$87.10
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $46.77 / $46.77	Professional		$46.77	$46.77	$46.77
BCBS Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $81.28 / $151.36	Facility		$52.48	$81.28	$151.36
BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $28.18 / $34.67	Professional		$25.12	$28.18	$34.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $0.81 / $3.72 / $181.97	Facility		$0.81	$3.72	$181.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $19.50 / $45.71	Professional		$13.49	$19.50	$45.71
Medcost Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $33.11 / $46.77	Facility		$20.89	$33.11	$46.77
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $10.96 / $30.20	Professional		$10.96	$10.96	$30.20
United Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $1,513.56 / $2,290.87	Facility		$288.40	$1,513.56	$2,290.87
United Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $19.95 / $38.90	Professional		$12.59	$19.95	$38.90