Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $58.96 / $215.45 / $1,730.16	Facility		$58.96	$215.45	$1,730.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.87 / $25.10 / $72.34	Professional		$13.87	$25.10	$72.34
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $12.23 / $12.23 / $18.80	Professional		$12.23	$12.23	$18.80
BCBS Facility/Professional Facility Modifier Low / Median / High Price $31.63 / $75.43 / $152.93	Facility		$31.63	$75.43	$152.93
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $10.25 / $17.98	Professional		$5.00	$10.25	$17.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $61.77 / $61.77 / $61.77	Facility		$61.77	$61.77	$61.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.07 / $24.25 / $41.42	Professional		$19.07	$24.25	$41.42
Medcost Facility/Professional Facility Modifier Low / Median / High Price $14.34 / $19.36 / $34.36	Facility		$14.34	$19.36	$34.36
United Facility/Professional Facility Modifier Low / Median / High Price $300.12 / $346.42 / $456.57	Facility		$300.12	$346.42	$456.57
United Facility/Professional Professional Modifier Low / Median / High Price $13.56 / $20.34 / $34.27	Professional		$13.56	$20.34	$34.27