Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.99 / $67.20 / $192.18	Facility		$40.99	$67.20	$192.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.47 / $51.31 / $127.82	Professional		$38.47	$51.31	$127.82
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $25.66 / $25.66 / $25.66	Professional		$25.66	$25.66	$25.66
BCBS Facility/Professional Facility Modifier Low / Median / High Price $23.58 / $58.83 / $84.85	Facility		$23.58	$58.83	$84.85
BCBS Facility/Professional Professional Modifier Low / Median / High Price $51.31 / $51.31 / $90.22	Professional		$51.31	$51.31	$90.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $60.45 / $104.05 / $292.55	Facility		$60.45	$104.05	$292.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.65 / $41.06 / $74.39	Professional		$25.65	$41.06	$74.39
Medcost Facility/Professional Facility Modifier Low / Median / High Price $51.31 / $100.00 / $100.00	Facility		$51.31	$100.00	$100.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $51.31 / $51.31 / $51.31	Professional		$51.31	$51.31	$51.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $28.22 / $28.22 / $28.22	Professional		$28.22	$28.22	$28.22
United Facility/Professional Professional Modifier Low / Median / High Price $30.79 / $41.05 / $51.31	Professional		$30.79	$41.05	$51.31