Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $154.88 / $269.15	Facility		$18.20	$154.88	$269.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $18.20 / $57.54	Professional		$16.98	$18.20	$57.54
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $15.49 / $18.20	Professional		$5.01	$15.49	$18.20
BCBS Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $89.13 / $177.83	Facility		$25.12	$89.13	$177.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $27.54 / $33.11	Professional		$18.62	$27.54	$33.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.22 / $17.38 / $17.38	Facility		$16.22	$17.38	$17.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $17.38 / $17.38	Professional		$17.38	$17.38	$17.38
Medcost Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $26.30 / $74.13	Facility		$18.20	$26.30	$74.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $30.20	Professional		$30.20	$30.20	$30.20
United Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $17.38 / $19.05	Professional		$16.22	$17.38	$19.05