Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.90 / $39.90 / $40.90	Facility		$39.90	$39.90	$40.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.77 / $39.90 / $58.39	Professional		$35.77	$39.90	$58.39
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $31.69 / $62.08 / $63.13	Professional		$31.69	$62.08	$63.13
BCBS Facility/Professional Facility Modifier Low / Median / High Price $180.30 / $431.96 / $736.63	Facility		$180.30	$431.96	$736.63
BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.27 / $49.00 / $75.01	Professional		$35.27	$49.00	$75.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.51 / $50.35 / $77.44	Professional		$41.51	$50.35	$77.44
Medcost Facility/Professional Facility Modifier Low / Median / High Price $37.93 / $47.45 / $82.97	Facility		$37.93	$47.45	$82.97
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $40.43 / $58.22	Professional		$32.34	$40.43	$58.22
United Facility/Professional Professional Modifier Low / Median / High Price $37.21 / $42.59 / $73.68	Professional		$37.21	$42.59	$73.68