Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $46.90 / $97.34 / $138.10	Facility		$46.90	$97.34	$138.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.41 / $36.15 / $46.35	Professional		$24.41	$36.15	$46.35
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $28.97 / $28.97 / $28.97	Professional		$28.97	$28.97	$28.97
BCBS Facility/Professional Facility Modifier Low / Median / High Price $285.35 / $285.35 / $304.94	Facility		$285.35	$285.35	$304.94
BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.00 / $8.00 / $36.72	Professional		$8.00	$8.00	$36.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $72.59 / $94.01 / $264.30	Facility		$72.59	$94.01	$264.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.37 / $27.11 / $60.47	Professional		$24.37	$27.11	$60.47
Medcost Facility/Professional Facility Modifier Low / Median / High Price $34.76 / $39.77 / $61.46	Facility		$34.76	$39.77	$61.46
Medcost Facility/Professional Professional Modifier Low / Median / High Price $19.44 / $19.44 / $19.44	Professional		$19.44	$19.44	$19.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $25.49 / $25.49 / $36.71	Professional		$25.49	$25.49	$36.71
United Facility/Professional Professional Modifier Low / Median / High Price $9.72 / $23.18 / $42.77	Professional		$9.72	$23.18	$42.77