Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $86.24 / $213.64 / $320.77	Facility		$86.24	$213.64	$320.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.65 / $47.63 / $314.24	Professional		$40.65	$47.63	$314.24
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $41.20 / $72.76 / $72.76	Professional		$41.20	$72.76	$72.76
BCBS Facility/Professional Facility Modifier Low / Median / High Price $67.04 / $82.94 / $264.39	Facility		$67.04	$82.94	$264.39
BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.65 / $100.67 / $133.85	Professional		$40.65	$100.67	$133.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.35 / $38.35 / $40.65	Facility		$38.35	$38.35	$40.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.65 / $40.65 / $40.65	Professional		$40.65	$40.65	$40.65
Medcost Facility/Professional Facility Modifier Low / Median / High Price $42.69 / $64.98 / $141.34	Facility		$42.69	$64.98	$141.34
Medcost Facility/Professional Professional Modifier Low / Median / High Price $169.83 / $169.83 / $169.83	Professional		$169.83	$169.83	$169.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.44 / $54.44 / $54.44	Professional		$54.44	$54.44	$54.44
United Facility/Professional Professional Modifier Low / Median / High Price $40.65 / $40.65 / $40.65	Professional		$40.65	$40.65	$40.65