Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $165.96 / $181.97	Facility		$25.12	$165.96	$181.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $33.88 / $66.07	Professional		$22.39	$33.88	$66.07
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $26.92 / $39.81	Professional		$22.91	$26.92	$39.81
BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $24.55 / $48.98	Professional		$22.91	$24.55	$48.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $32.36 / $50.12	Professional		$26.30	$32.36	$50.12
Medcost Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $36.31 / $40.74	Professional		$36.31	$36.31	$40.74
Medcost Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $32.36 / $57.54	Facility		$22.91	$32.36	$57.54
Medcost Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $43.65 / $43.65	Professional		$43.65	$43.65	$43.65
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 $21.38 / $26.30 / $42.66	Professional		$21.38	$26.30	$42.66