Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $59.63 / $98.71 / $332.80	Facility		$59.63	$98.71	$332.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.06 / $55.59 / $206.78	Professional		$46.06	$55.59	$206.78
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $43.22 / $75.67 / $79.14	Professional		$43.22	$75.67	$79.14
BCBS Facility/Professional Facility Modifier Low / Median / High Price $43.18 / $65.20 / $137.13	Facility		$43.18	$65.20	$137.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $50.84 / $69.37	Professional		$30.00	$50.84	$69.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $61.58 / $61.58 / $61.58	Facility		$61.58	$61.58	$61.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.80 / $48.80 / $48.80	Professional		$48.80	$48.80	$48.80
Medcost Facility/Professional Facility Modifier Low / Median / High Price $21.59 / $52.45 / $93.44	Facility		$21.59	$52.45	$93.44
Medcost Facility/Professional Professional Modifier Low / Median / High Price $27.96 / $30.00 / $35.44	Professional		$27.96	$30.00	$35.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.90 / $74.75 / $117.88	Professional		$54.90	$74.75	$117.88
United Facility/Professional Professional Modifier Low / Median / High Price $24.92 / $51.39 / $83.23	Professional		$24.92	$51.39	$83.23