Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.66 / $193.80 / $193.80	Facility		$18.66	$193.80	$193.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.70 / $18.66 / $28.72	Professional		$17.70	$18.66	$28.72
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $26.37 / $32.13 / $32.13	Professional		$26.37	$32.13	$32.13
BCBS Facility/Professional Facility Modifier Low / Median / High Price $90.07 / $157.08 / $323.66	Facility		$90.07	$157.08	$323.66
BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.95 / $18.85 / $24.55	Professional		$17.95	$18.85	$24.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.69 / $22.69 / $115.91	Facility		$22.69	$22.69	$115.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.14 / $22.56 / $39.97	Professional		$18.14	$22.56	$39.97
Medcost Facility/Professional Facility Modifier Low / Median / High Price $17.69 / $20.90 / $31.47	Facility		$17.69	$20.90	$31.47
Medcost Facility/Professional Professional Modifier Low / Median / High Price $17.92 / $20.90 / $49.21	Professional		$17.92	$20.90	$49.21
Molina Facility/Professional Professional Modifier Low / Median / High Price $27.41 / $37.37 / $57.58	Professional		$27.41	$37.37	$57.58
United Facility/Professional Professional Modifier Low / Median / High Price $16.01 / $19.57 / $27.77	Professional		$16.01	$19.57	$27.77