Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $72.44 / $190.55	Facility		$51.29	$72.44	$190.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $51.29 / $64.57	Professional		$51.29	$51.29	$64.57
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $25.70 / $25.70	Professional		$25.70	$25.70	$25.70
BCBS Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $64.57 / $95.50	Facility		$51.29	$64.57	$95.50
BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $53.70 / $107.15	Professional		$33.88	$53.70	$107.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $125.89 / $295.12	Facility		$33.11	$125.89	$295.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $51.29 / $51.29	Professional		$51.29	$51.29	$51.29
Medcost Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $51.29 / $95.50	Facility		$51.29	$51.29	$95.50
Medcost Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $51.29 / $51.29	Professional		$51.29	$51.29	$51.29
United Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $51.29 / $61.66	Facility		$45.71	$51.29	$61.66
United Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $30.90 / $51.29	Professional		$21.38	$30.90	$51.29