Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.00 / $103.95 / $280.50	Facility		$12.00	$103.95	$280.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.00 / $13.85 / $14.87	Professional		$12.00	$13.85	$14.87
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $10.69 / $10.69 / $10.69	Professional		$10.69	$10.69	$10.69
BCBS Facility/Professional Facility Modifier Low / Median / High Price $46.25 / $129.88 / $247.77	Facility		$46.25	$129.88	$247.77
BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.39 / $21.00 / $39.00	Professional		$15.39	$21.00	$39.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $27.96 / $44.60 / $92.85	Facility		$27.96	$44.60	$92.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.72 / $9.69 / $22.20	Professional		$7.72	$9.69	$22.20
Medcost Facility/Professional Facility Modifier Low / Median / High Price $12.00 / $17.77 / $30.10	Facility		$12.00	$17.77	$30.10
Medcost Facility/Professional Professional Modifier Low / Median / High Price $17.00 / $22.04 / $28.00	Professional		$17.00	$22.04	$28.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.46 / $8.46 / $12.19	Professional		$8.46	$8.46	$12.19
United Facility/Professional Professional Modifier Low / Median / High Price $6.46 / $9.23 / $21.50	Professional		$6.46	$9.23	$21.50