Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $125.89 / $138.04	Facility		$19.05	$125.89	$138.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $30.90 / $85.11	Professional		$17.38	$30.90	$85.11
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $21.38 / $26.92	Professional		$15.85	$21.38	$26.92
BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $18.62 / $37.15	Professional		$17.38	$18.62	$37.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $31.62 / $43.65	Professional		$23.99	$31.62	$43.65
Medcost Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $37.15 / $40.74	Professional		$37.15	$37.15	$40.74
Medcost Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $30.20 / $61.66	Facility		$18.20	$30.20	$61.66
Medcost Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $58.88 / $58.88	Professional		$58.88	$58.88	$58.88
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 Professional Modifier Low / Median / High Price $21.88 / $26.92 / $43.65	Professional		$21.88	$26.92	$43.65