Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $85.11 / $123.03	Facility		$30.20	$85.11	$123.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $70.79 / $117.49	Professional		$28.18	$70.79	$117.49
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $97.72 / $194.98	Professional		$79.43	$97.72	$194.98
BCBS Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $123.03 / $213.80	Facility		$66.07	$123.03	$213.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $46.77 / $97.72	Professional		$24.55	$46.77	$97.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $46.77 / $478.63	Facility		$46.77	$46.77	$478.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $83.18 / $162.18	Professional		$31.62	$83.18	$162.18
Medcost Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $162.18 / $162.18	Professional		$120.23	$162.18	$162.18
Medcost Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $77.62 / $165.96	Facility		$29.51	$77.62	$165.96
Medcost Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $60.26 / $60.26	Professional		$60.26	$60.26	$60.26
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 $302.00 / $346.74 / $457.09	Facility		$302.00	$346.74	$457.09
United Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $61.66 / $123.03	Professional		$26.30	$61.66	$123.03