Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.39 / $43.65 / $102.33	Facility		$22.39	$43.65	$102.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $26.92 / $165.96	Professional		$21.88	$26.92	$165.96
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $16.22 / $44.67	Professional		$16.22	$16.22	$44.67
BCBS Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $199.53 / $213.80	Facility		$199.53	$199.53	$213.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $33.88 / $43.65	Professional		$13.18	$33.88	$43.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21.38 / $83.18 / $186.21	Facility		$21.38	$83.18	$186.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $15.85 / $38.90	Professional		$12.59	$15.85	$38.90
Medcost Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $30.90 / $54.95	Facility		$23.99	$30.90	$54.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $33.88 / $33.88	Facility		$33.88	$33.88	$33.88
United Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $23.99 / $60.26	Professional		$16.98	$23.99	$60.26