Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.24 / $524.81 / $933.25	Facility		$2.24	$524.81	$933.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.00 / $1.78 / $100.00	Professional		$1.00	$1.78	$100.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1.78 / $1.78 / $5.37	Professional		$1.78	$1.78	$5.37
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4.27 / $12.30 / $199.53	Facility		$4.27	$12.30	$199.53
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.51 / $2.00 / $4.68	Professional		$1.51	$2.00	$4.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.70 / $1.78 / $1.78	Facility		$1.70	$1.78	$1.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.78 / $1.78 / $1.95	Professional		$1.78	$1.78	$1.95
Medcost Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $194.98 / $316.23	Professional		$125.89	$194.98	$316.23
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1.78 / $3.02 / $154.88	Facility		$1.78	$3.02	$154.88
Medcost Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $245.47 / $245.47	Professional		$245.47	$245.47	$245.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $4.37 / $4.47 / $30.20	Professional		$4.37	$4.47	$30.20
United Facility/Professional Professional Modifier Low / Median / High Price $1.51 / $1.91 / $2.19	Professional		$1.51	$1.91	$2.19