Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $194.98 / $194.98	Facility		$18.20	$194.98	$194.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $19.05 / $34.67	Professional		$16.98	$19.05	$34.67
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $19.95 / $25.70	Professional		$13.18	$19.95	$25.70
BCBS Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $199.53 / $338.84	Facility		$107.15	$199.53	$338.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $21.88 / $26.30	Professional		$19.95	$21.88	$26.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $31.62 / $31.62 / $117.49	Facility		$31.62	$31.62	$117.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $24.55 / $48.98	Professional		$18.20	$24.55	$48.98
Medcost Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $21.88 / $38.02	Facility		$16.98	$21.88	$38.02
Medcost Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $17.78 / $17.78	Professional		$17.78	$17.78	$17.78
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 $562.34 / $645.65 / $851.14	Facility		$562.34	$645.65	$851.14
United Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $19.50 / $29.51	Professional		$15.85	$19.50	$29.51