Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.44 / $23.44 / $56.23	Facility		$23.44	$23.44	$56.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $39.81 / $70.79	Professional		$16.98	$39.81	$70.79
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $45.71 / $64.57	Professional		$34.67	$45.71	$64.57
BCBS Facility/Professional Facility Modifier Low / Median / High Price $20.42 / $32.36 / $51.29	Facility		$20.42	$32.36	$51.29
BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $42.66 / $54.95	Professional		$16.22	$42.66	$54.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $28.18 / $28.18	Facility		$28.18	$28.18	$28.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $39.81 / $50.12	Professional		$39.81	$39.81	$50.12
Medcost Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $46.77 / $60.26	Professional		$32.36	$46.77	$60.26
Medcost Facility/Professional Facility Modifier Low / Median / High Price $17.78 / $38.90 / $70.79	Facility		$17.78	$38.90	$70.79
Medcost Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $34.67 / $34.67	Professional		$34.67	$34.67	$34.67
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $181.97	Professional		$32.36	$33.11	$181.97
United Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $141.25 / $186.21	Facility		$141.25	$141.25	$186.21
United Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $33.11 / $52.48	Professional		$16.60	$33.11	$52.48