Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $54.95 / $181.97	Facility		$45.71	$54.95	$181.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $33.11 / $63.10	Professional		$30.90	$33.11	$63.10
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $31.62 / $33.11	Professional		$19.95	$31.62	$33.11
BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $39.81 / $70.79	Facility		$19.50	$39.81	$70.79
BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $34.67 / $41.69	Professional		$33.11	$34.67	$41.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $33.11 / $33.11	Facility		$33.11	$33.11	$33.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $33.11 / $33.11	Professional		$33.11	$33.11	$33.11
Medcost Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $36.31 / $89.13	Facility		$28.84	$36.31	$89.13
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 $31.62 / $32.36 / $32.36	Facility		$31.62	$32.36	$32.36
United Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $33.88 / $36.31	Professional		$28.84	$33.88	$36.31