Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $74.13 / $218.78	Facility		$21.88	$74.13	$218.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $51.29 / $75.86	Professional		$16.98	$51.29	$75.86
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $14.45 / $16.22	Professional		$14.45	$14.45	$16.22
BCBS Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $97.72 / $162.18	Facility		$83.18	$97.72	$162.18
BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $26.92 / $95.50	Professional		$16.98	$26.92	$95.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $28.84 / $54.95	Facility		$28.84	$28.84	$54.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $66.07 / $125.89	Professional		$20.42	$66.07	$125.89
Medcost Facility/Professional Facility Modifier Low / Median / High Price $17.38 / $50.12 / $107.15	Facility		$17.38	$50.12	$107.15
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 Facility Modifier Low / Median / High Price $288.40 / $288.40 / $380.19	Facility		$288.40	$288.40	$380.19
United Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $50.12 / $91.20	Professional		$16.98	$50.12	$91.20