Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $30.90 / $67.61	Facility		$19.05	$30.90	$67.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $60.26 / $104.71	Professional		$47.86	$60.26	$104.71
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $89.13 / $120.23	Professional		$57.54	$89.13	$120.23
BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.22 / $20.89 / $87.10	Facility		$16.22	$20.89	$87.10
BCBS Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $120.23 / $141.25	Professional		$69.18	$120.23	$141.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $67.61 / $181.97	Facility		$52.48	$67.61	$181.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $50.12 / $134.90	Professional		$50.12	$50.12	$134.90
Medcost Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $67.61 / $75.86	Professional		$51.29	$67.61	$75.86
Medcost Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $87.10 / $190.55	Facility		$56.23	$87.10	$190.55
Medcost Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $32.36	Professional		$32.36	$32.36	$32.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $79.43	Professional		$30.20	$30.20	$79.43
United Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $63.10 / $138.04	Facility		$50.12	$63.10	$138.04
United Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $58.88 / $74.13	Professional		$41.69	$58.88	$74.13