Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $63.10 / $223.87	Facility		$40.74	$63.10	$223.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $41.69 / $114.82	Professional		$40.74	$41.69	$114.82
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $25.70 / $56.23	Professional		$17.78	$25.70	$56.23
BCBS Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $53.70 / $81.28	Facility		$41.69	$53.70	$81.28
BCBS Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $41.69 / $75.86	Professional		$41.69	$41.69	$75.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $102.33 / $234.42	Facility		$26.92	$102.33	$234.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $24.55 / $45.71	Professional		$20.42	$24.55	$45.71
Medcost Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $41.69 / $77.62	Facility		$41.69	$41.69	$77.62
Medcost Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $41.69 / $41.69	Professional		$41.69	$41.69	$41.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $30.20	Professional		$30.20	$30.20	$30.20
United Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $41.69 / $50.12	Facility		$37.15	$41.69	$50.12
United Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $33.11 / $45.71	Professional		$25.12	$33.11	$45.71