Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.39 / $85.72 / $122.87	Facility		$30.39	$85.72	$122.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.12 / $53.04 / $116.81	Professional		$28.12	$53.04	$116.81
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $79.56 / $79.56 / $79.56	Professional		$79.56	$79.56	$79.56
BCBS Facility/Professional Facility Modifier Low / Median / High Price $67.16 / $125.39 / $208.47	Facility		$67.16	$125.39	$208.47
BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.84 / $51.27 / $95.78	Professional		$27.84	$51.27	$95.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $46.38 / $221.70 / $399.53	Facility		$46.38	$221.70	$399.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.27 / $82.97 / $154.16	Professional		$31.27	$82.97	$154.16
Medcost Facility/Professional Facility Modifier Low / Median / High Price $30.78 / $84.45 / $148.28	Facility		$30.78	$84.45	$148.28
Medcost Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $119.00 / $204.33	Professional		$60.00	$119.00	$204.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $82.31 / $112.28 / $174.46	Professional		$82.31	$112.28	$174.46
United Facility/Professional Professional Modifier Low / Median / High Price $67.84 / $87.35 / $147.69	Professional		$67.84	$87.35	$147.69