Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $37.45 / $70.84 / $169.26	Facility		$37.45	$70.84	$169.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.41 / $18.78 / $20.95	Professional		$17.41	$18.78	$20.95
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $16.72 / $16.72 / $16.72	Professional		$16.72	$16.72	$16.72
BCBS Facility/Professional Facility Modifier Low / Median / High Price $164.69 / $164.69 / $175.99	Facility		$164.69	$164.69	$175.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.50 / $24.50 / $44.88	Professional		$24.50	$24.50	$44.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $43.76 / $69.80 / $171.96	Facility		$43.76	$69.80	$171.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.66 / $21.43 / $31.41	Professional		$12.66	$21.43	$31.41
Medcost Facility/Professional Facility Modifier Low / Median / High Price $18.05 / $21.67 / $31.93	Facility		$18.05	$21.67	$31.93
Medcost Facility/Professional Professional Modifier Low / Median / High Price $32.50 / $33.03 / $33.03	Professional		$32.50	$33.03	$33.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $13.24 / $13.24 / $19.07	Professional		$13.24	$13.24	$19.07
United Facility/Professional Professional Modifier Low / Median / High Price $10.11 / $14.45 / $28.90	Professional		$10.11	$14.45	$28.90