Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $19.05 / $19.05	Facility		$19.05	$19.05	$19.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $23.99 / $85.11	Professional		$17.78	$23.99	$85.11
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $19.50 / $30.90	Professional		$17.78	$19.50	$30.90
BCBS Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $275.42 / $489.78	Facility		$154.88	$275.42	$489.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $21.88 / $50.12	Professional		$16.22	$21.88	$50.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $117.49 / $117.49	Facility		$117.49	$117.49	$117.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $32.36 / $89.13	Professional		$19.95	$32.36	$89.13
Medcost Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $26.92 / $77.62	Facility		$18.20	$26.92	$77.62
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 $562.34 / $645.65 / $851.14	Facility		$562.34	$645.65	$851.14
United Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $24.55 / $58.88	Professional		$17.78	$24.55	$58.88