Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $501.19 / $2,511.89	Facility		$83.18	$501.19	$2,511.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $57.54 / $69.18	Professional		$57.54	$57.54	$69.18
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $60.26 / $60.26	Professional		$60.26	$60.26	$60.26
BCBS Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $42.66 / $100.00	Facility		$37.15	$42.66	$100.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $72.44 / $102.33	Professional		$57.54	$72.44	$102.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $57.54 / $57.54	Facility		$53.70	$57.54	$57.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $57.54 / $57.54	Professional		$57.54	$57.54	$57.54
Medcost Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $66.07 / $138.04	Facility		$39.81	$66.07	$138.04
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 $57.54 / $57.54 / $85.11	Professional		$57.54	$57.54	$85.11