Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.96 / $27.96 / $51.99	Facility		$27.96	$27.96	$51.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.05 / $40.03 / $54.87	Professional		$27.05	$40.03	$54.87
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $44.73 / $44.73 / $44.73	Professional		$44.73	$44.73	$44.73
BCBS Facility/Professional Facility Modifier Low / Median / High Price $127.62 / $272.33 / $575.97	Facility		$127.62	$272.33	$575.97
BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.99 / $47.43 / $64.86	Professional		$24.99	$47.43	$64.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.80 / $34.74 / $89.33	Professional		$22.80	$34.74	$89.33
Medcost Facility/Professional Facility Modifier Low / Median / High Price $27.67 / $40.10 / $59.79	Facility		$27.67	$40.10	$59.79
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $4.99 / $5.39 / $6.73	Facility	AS	$4.99	$5.39	$6.73
Molina Facility/Professional Professional Modifier Low / Median / High Price $52.95 / $65.88 / $90.20	Professional		$52.95	$65.88	$90.20
United Facility/Professional Professional Modifier Low / Median / High Price $34.25 / $44.64 / $49.63	Professional		$34.25	$44.64	$49.63