Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.37 / $168.11 / $3,591.89	Facility		$21.37	$168.11	$3,591.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.35 / $20.96 / $28.55	Professional		$20.35	$20.96	$28.55
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $25.60 / $25.60 / $25.60	Professional		$25.60	$25.60	$25.60
BCBS Facility/Professional Facility Modifier Low / Median / High Price $26.50 / $59.43 / $184.87	Facility		$26.50	$59.43	$184.87
BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.35 / $31.35 / $161.15	Professional		$20.35	$31.35	$161.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.20 / $20.35 / $64.89	Facility		$19.20	$20.35	$64.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.35 / $20.35 / $25.91	Professional		$20.35	$20.35	$25.91
Medcost Facility/Professional Facility Modifier Low / Median / High Price $20.35 / $70.00 / $191.22	Facility		$20.35	$70.00	$191.22
Medcost Facility/Professional Professional Modifier Low / Median / High Price $53.99 / $88.66 / $140.00	Professional		$53.99	$88.66	$140.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $21.36 / $29.68 / $64.00	Professional		$21.36	$29.68	$64.00
United Facility/Professional Professional Modifier Low / Median / High Price $17.30 / $21.57 / $24.50	Professional		$17.30	$21.57	$24.50