Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $31.62 / $3,981.07 / $10,715.19	Facility		$31.62	$3,981.07	$10,715.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.90 / $97.72	Professional		$30.20	$30.90	$97.72
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $30.20	Professional		$30.20	$30.20	$30.20
BCBS Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $107.15 / $181.97	Facility		$54.95	$107.15	$181.97
BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $33.11 / $87.10	Professional		$31.62	$33.11	$87.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $24.55 / $30.20 / $30.20	Facility		$24.55	$30.20	$30.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $30.20	Professional		$30.20	$30.20	$30.20
Medcost Facility/Professional Facility Modifier Low / Median / High Price $31.62 / $38.02 / $102.33	Facility		$31.62	$38.02	$102.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $30.20	Professional		$30.20	$30.20	$30.20
United Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $34.67 / $64.57	Facility		$30.20	$34.67	$64.57
United Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $42.66 / $51.29	Professional		$30.20	$42.66	$51.29