Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.22 / $66.07 / $16,218.10	Facility		$16.22	$66.07	$16,218.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $15.14 / $25.12	Professional		$15.14	$15.14	$25.12
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $15.14 / $15.49	Professional		$15.14	$15.14	$15.49
BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.59 / $22.39 / $40.74	Facility		$12.59	$22.39	$40.74
BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $18.20 / $20.42	Professional		$15.49	$18.20	$20.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.79 / $15.49 / $15.49	Facility		$14.79	$15.49	$15.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $15.49 / $15.49	Professional		$15.49	$15.49	$15.49
Medcost Facility/Professional Facility Modifier Low / Median / High Price $16.22 / $19.50 / $44.67	Facility		$16.22	$19.50	$44.67
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 Facility Modifier Low / Median / High Price $15.49 / $15.49 / $33.88	Facility		$15.49	$15.49	$33.88
United Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $15.49 / $16.98	Professional		$15.49	$15.49	$16.98