Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $54.75 / $293.48 / $433.58	Facility		$54.75	$293.48	$433.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.76 / $63.18 / $83.95	Professional		$54.76	$63.18	$83.95
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $35.10 / $35.10 / $70.20	Professional		$35.10	$35.10	$70.20
BCBS Facility/Professional Facility Modifier Low / Median / High Price $127.89 / $272.52 / $475.44	Facility		$127.89	$272.52	$475.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $48.50 / $71.00 / $177.00	Professional		$48.50	$71.00	$177.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $82.10 / $172.94 / $422.75	Facility		$82.10	$172.94	$422.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.50 / $48.25 / $132.21	Professional		$35.50	$48.25	$132.21
Medcost Facility/Professional Facility Modifier Low / Median / High Price $56.16 / $98.07 / $130.57	Facility		$56.16	$98.07	$130.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $38.61 / $38.61 / $38.61	Professional		$38.61	$38.61	$38.61
United Facility/Professional Professional Modifier Low / Median / High Price $29.48 / $47.76 / $72.75	Professional		$29.48	$47.76	$72.75