Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.70 / $88.83 / $195.95	Facility		$22.70	$88.83	$195.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.74 / $14.45 / $31.43	Professional		$11.74	$14.45	$31.43
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $18.05 / $18.05 / $18.05	Professional		$18.05	$18.05	$18.05
BCBS Facility/Professional Facility Modifier Low / Median / High Price $22.49 / $74.43 / $143.96	Facility		$22.49	$74.43	$143.96
BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.00 / $15.00 / $37.72	Professional		$7.00	$15.00	$37.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $32.83 / $52.36 / $108.65	Facility		$32.83	$52.36	$108.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.19 / $11.40 / $25.81	Professional		$9.19	$11.40	$25.81
Medcost Facility/Professional Facility Modifier Low / Median / High Price $14.09 / $20.84 / $35.32	Facility		$14.09	$20.84	$35.32
Medcost Facility/Professional Professional Modifier Low / Median / High Price $20.00 / $25.86 / $33.00	Professional		$20.00	$25.86	$33.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.93 / $9.93 / $14.30	Professional		$9.93	$9.93	$14.30
United Facility/Professional Professional Modifier Low / Median / High Price $7.59 / $10.84 / $25.23	Professional		$7.59	$10.84	$25.23