Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $34.06 / $159.88 / $24,106.98	Facility		$34.06	$159.88	$24,106.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.85 / $42.58 / $53.12	Professional		$41.85	$42.58	$53.12
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $41.11 / $41.11 / $41.11	Professional		$41.11	$41.11	$41.11
BCBS Facility/Professional Facility Modifier Low / Median / High Price $22.12 / $41.87 / $72.47	Facility		$22.12	$41.87	$72.47
BCBS Facility/Professional Professional Modifier Low / Median / High Price $42.16 / $45.49 / $55.25	Professional		$42.16	$45.49	$55.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $39.77 / $42.16 / $57.36	Facility		$39.77	$42.16	$57.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.16 / $42.16 / $44.40	Professional		$42.16	$42.16	$44.40
Medcost Facility/Professional Facility Modifier Low / Median / High Price $29.17 / $42.16 / $66.20	Facility		$29.17	$42.16	$66.20
Medcost Facility/Professional Professional Modifier Low / Median / High Price $29.17 / $29.17 / $59.76	Professional		$29.17	$29.17	$59.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $37.48 / $43.52 / $101.85	Professional		$37.48	$43.52	$101.85
United Facility/Professional Facility Modifier Low / Median / High Price $41.11 / $41.11 / $67.83	Facility		$41.11	$41.11	$67.83
United Facility/Professional Professional Modifier Low / Median / High Price $35.84 / $44.69 / $52.70	Professional		$35.84	$44.69	$52.70