Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.43 / $24.43 / $52.08	Facility		$24.43	$24.43	$52.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.78 / $45.24 / $55.09	Professional		$21.78	$45.24	$55.09
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $22.94 / $38.20 / $38.20	Professional		$22.94	$38.20	$38.20
BCBS Facility/Professional Facility Modifier Low / Median / High Price $89.26 / $160.36 / $263.14	Facility		$89.26	$160.36	$263.14
BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.41 / $59.28 / $84.33	Professional		$22.41	$59.28	$84.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $37.15 / $37.15	Facility		$37.15	$37.15	$37.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.60 / $53.35 / $98.32	Professional		$25.60	$53.35	$98.32
Medcost Facility/Professional Facility Modifier Low / Median / High Price $24.43 / $54.27 / $76.98	Facility		$24.43	$54.27	$76.98
Medcost Facility/Professional Professional Modifier Low / Median / High Price $56.63 / $56.63 / $123.21	Professional		$56.63	$56.63	$123.21
Molina Facility/Professional Professional Modifier Low / Median / High Price $28.00 / $37.07 / $57.58	Professional		$28.00	$37.07	$57.58
United Facility/Professional Professional Modifier Low / Median / High Price $26.53 / $49.24 / $76.98	Professional		$26.53	$49.24	$76.98