Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $26.92 / $51.29	Facility		$26.92	$26.92	$51.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $44.67 / $75.86	Professional		$26.92	$44.67	$75.86
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $26.92 / $74.13	Professional		$19.95	$26.92	$74.13
BCBS Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $263.03 / $537.03	Facility		$131.83	$263.03	$537.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $47.86 / $66.07	Professional		$22.91	$47.86	$66.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $28.84 / $46.77	Professional		$22.91	$28.84	$46.77
Medcost Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $79.43 / $79.43	Professional		$79.43	$79.43	$79.43
Medcost Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $44.67 / $63.10	Facility		$26.92	$44.67	$63.10
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 $1,698.24 / $1,949.84 / $2,570.40	Facility		$1,698.24	$1,949.84	$2,570.40
United Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $33.88 / $50.12	Professional		$22.91	$33.88	$50.12