Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.63 / $41.63 / $57.43	Facility		$41.63	$41.63	$57.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.86 / $57.43 / $112.21	Professional		$39.86	$57.43	$112.21
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $39.65 / $47.73 / $52.24	Professional		$39.65	$47.73	$52.24
BCBS Facility/Professional Facility Modifier Low / Median / High Price $218.01 / $444.36 / $736.63	Facility		$218.01	$444.36	$736.63
BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.36 / $86.74 / $134.63	Professional		$38.36	$86.74	$134.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $84.88 / $84.88 / $84.88	Facility		$84.88	$84.88	$84.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.75 / $85.16 / $123.29	Professional		$51.75	$85.16	$123.29
Medcost Facility/Professional Facility Modifier Low / Median / High Price $42.34 / $80.40 / $125.38	Facility		$42.34	$80.40	$125.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $56.25 / $74.75 / $112.13	Professional		$56.25	$74.75	$112.13
United Facility/Professional Professional Modifier Low / Median / High Price $53.16 / $82.19 / $147.65	Professional		$53.16	$82.19	$147.65