Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $208.93 / $380.19	Facility		$54.95	$208.93	$380.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $97.72 / $134.90	Professional		$69.18	$97.72	$134.90
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $97.72 / $123.03	Professional		$36.31	$97.72	$123.03
BCBS Facility/Professional Facility Modifier Low / Median / High Price $24.55 / $51.29 / $85.11	Facility		$24.55	$51.29	$85.11
BCBS Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $102.33 / $123.03	Professional		$97.72	$102.33	$123.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $95.50 / $95.50	Facility		$95.50	$95.50	$95.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $95.50 / $95.50	Professional		$95.50	$95.50	$95.50
Medcost Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $102.33 / $239.88	Facility		$38.02	$102.33	$239.88
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 $83.18 / $93.33 / $93.33	Facility		$83.18	$93.33	$93.33
United Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $100.00 / $102.33	Professional		$81.28	$100.00	$102.33