Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $147.91 / $194.98	Facility		$25.70	$147.91	$194.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $31.62 / $67.61	Professional		$23.44	$31.62	$67.61
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $27.54 / $35.48	Professional		$22.39	$27.54	$35.48
BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $25.70 / $33.88	Professional		$23.99	$25.70	$33.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $34.67 / $52.48	Professional		$28.84	$34.67	$52.48
Medcost Facility/Professional Facility Modifier Low / Median / High Price $23.44 / $28.84 / $47.86	Facility		$23.44	$28.84	$47.86
Medcost Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $22.91 / $22.91	Professional		$22.91	$22.91	$22.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $33.11	Professional		$32.36	$33.11	$33.11
United Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $28.18 / $46.77	Professional		$23.44	$28.18	$46.77