Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.05 / $39.54 / $86.22	Facility		$5.05	$39.54	$86.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.84 / $5.78 / $6.47	Professional		$4.84	$5.78	$6.47
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $4.49 / $4.49 / $4.49	Professional		$4.49	$4.49	$4.49
BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.52 / $47.50 / $104.82	Facility		$12.52	$47.50	$104.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $9.00 / $16.00	Professional		$5.00	$9.00	$16.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.43 / $18.78 / $39.51	Facility		$3.43	$18.78	$39.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.29 / $4.09 / $9.28	Professional		$3.29	$4.09	$9.28
Medcost Facility/Professional Facility Modifier Low / Median / High Price $5.05 / $7.46 / $12.66	Facility		$5.05	$7.46	$12.66
Medcost Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $8.52 / $12.00	Professional		$5.00	$8.52	$12.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $3.56 / $3.56 / $5.12	Professional		$3.56	$3.56	$5.12
United Facility/Professional Facility Modifier Low / Median / High Price $6.47 / $6.47 / $6.47	Facility		$6.47	$6.47	$6.47
United Facility/Professional Professional Modifier Low / Median / High Price $2.72 / $3.88 / $9.03	Professional		$2.72	$3.88	$9.03