Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.20 / $27.37 / $80.84	Facility		$25.20	$27.37	$80.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.60 / $25.14 / $41.97	Professional		$18.60	$25.14	$41.97
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 $66.70 / $93.37 / $256.52	Facility		$66.70	$93.37	$256.52
BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.00 / $29.59 / $49.04	Professional		$23.00	$29.59	$49.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $41.04 / $86.45 / $200.09	Facility		$41.04	$86.45	$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 / $41.68	Professional		$14.74	$23.88	$41.68