Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $72.20 / $110.25 / $206.01	Facility		$72.20	$110.25	$206.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.60 / $30.71 / $47.25	Professional		$18.60	$30.71	$47.25
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $17.55 / $17.55 / $17.55	Professional		$17.55	$17.55	$17.55
BCBS Facility/Professional Facility Modifier Low / Median / High Price $39.90 / $107.43 / $148.11	Facility		$39.90	$107.43	$148.11
BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.09 / $49.00 / $63.59	Professional		$35.09	$49.00	$63.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $63.78 / $94.90 / $200.09	Facility		$63.78	$94.90	$200.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.75 / $23.20 / $65.56	Professional		$17.75	$23.20	$65.56
Medcost Facility/Professional Facility Modifier Low / Median / High Price $29.42 / $45.62 / $63.75	Facility		$29.42	$45.62	$63.75
Molina Facility/Professional Professional Modifier Low / Median / High Price $19.30 / $19.30 / $19.30	Professional		$19.30	$19.30	$19.30
United Facility/Professional Professional Modifier Low / Median / High Price $14.74 / $23.88 / $42.11	Professional		$14.74	$23.88	$42.11