Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $114.82 / $616.60	Facility		$30.20	$114.82	$616.60
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $380.19 / $501.19 / $776.25	Facility	25	$380.19	$501.19	$776.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $56.23 / $323.59	Professional		$32.36	$56.23	$323.59
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $47.86 / $72.44	Professional		$38.90	$47.86	$72.44
BCBS Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $208.93 / $275.42	Facility		$144.54	$208.93	$275.42
BCBS Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $52.48 / $52.48	Professional		$52.48	$52.48	$52.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $45.71 / $81.28	Professional		$33.88	$45.71	$81.28
Medcost Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $36.31 / $51.29	Professional		$36.31	$36.31	$51.29
Medcost Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $56.23 / $97.72	Facility		$36.31	$56.23	$97.72
Medcost Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $54.95 / $54.95	Professional		$54.95	$54.95	$54.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $33.11	Professional		$32.36	$33.11	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $977.24 / $977.24	Facility		$977.24	$977.24	$977.24
United Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $40.74 / $67.61	Professional		$32.36	$40.74	$67.61