Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.88 / $70.79 / $724.44	Facility		$12.88	$70.79	$724.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $12.88 / $38.02	Professional		$12.02	$12.88	$38.02
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $9.33 / $9.33 / $52.48	Professional		$9.33	$9.33	$52.48
BCBS Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $36.31 / $239.88	Facility		$21.88	$36.31	$239.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $16.22 / $19.95	Professional		$15.49	$16.22	$19.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.18 / $13.18 / $13.18	Facility		$13.18	$13.18	$13.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $13.18 / $13.18	Professional		$13.18	$13.18	$13.18
Medcost Facility/Professional Facility Modifier Low / Median / High Price $12.88 / $15.49 / $17.38	Facility		$12.88	$15.49	$17.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $10.72 / $13.49	Professional		$10.72	$10.72	$13.49
United Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $12.88 / $13.80	Professional		$12.88	$12.88	$13.80