Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $213.80 / $245.47	Facility		$52.48	$213.80	$245.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $52.48 / $74.13	Professional		$30.90	$52.48	$74.13
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $25.12 / $25.12	Professional		$25.12	$25.12	$25.12
BCBS Facility/Professional Facility Modifier Low / Median / High Price $13.18 / $14.79 / $51.29	Facility		$13.18	$14.79	$51.29
BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $66.07 / $75.86	Professional		$57.54	$66.07	$75.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $54.95 / $54.95	Facility		$54.95	$54.95	$54.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $54.95 / $54.95	Professional		$54.95	$54.95	$54.95
Medcost Facility/Professional Facility Modifier Low / Median / High Price $11.75 / $58.88 / $72.44	Facility		$11.75	$58.88	$72.44
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 $53.70 / $53.70 / $58.88	Professional		$53.70	$53.70	$58.88