Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $77.62 / $85.11	Facility		$33.11	$77.62	$85.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $28.18 / $58.88	Professional		$19.95	$28.18	$58.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $30.90 / $41.69	Professional		$23.44	$30.90	$41.69
BCBS Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $125.89 / $213.80	Facility		$107.15	$125.89	$213.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $32.36 / $63.10	Professional		$23.44	$32.36	$63.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $38.90 / $85.11	Facility		$38.90	$38.90	$85.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $24.55 / $32.36	Professional		$24.55	$24.55	$32.36
Medcost Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $30.90 / $58.88	Facility		$22.91	$30.90	$58.88
Medcost Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $24.55 / $24.55	Professional		$24.55	$24.55	$24.55
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $181.97	Professional		$32.36	$33.11	$181.97
United Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $489.78 / $645.65	Facility		$489.78	$489.78	$645.65
United Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $28.18 / $42.66	Professional		$22.39	$28.18	$42.66