Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $6.84 / $6.84 / $6.84	Facility	26	$6.84	$6.84	$6.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.61 / $28.35 / $33.07	Professional		$24.61	$28.35	$33.07
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $30.83 / $30.83 / $30.83	Professional		$30.83	$30.83	$30.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.83 / $44.00 / $61.84	Professional		$30.83	$44.00	$61.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.92 / $42.33 / $72.26	Professional		$33.92	$42.33	$72.26
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $12.93 / $12.93 / $24.84	Facility	26	$12.93	$12.93	$24.84
Medcost Facility/Professional Professional Modifier Low / Median / High Price $115.92 / $115.92 / $115.92	Professional		$115.92	$115.92	$115.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $25.48 / $34.77 / $51.41	Professional		$25.48	$34.77	$51.41
United Facility/Professional Professional Modifier Low / Median / High Price $27.98 / $40.15 / $64.91	Professional		$27.98	$40.15	$64.91