Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.54 / $53.12 / $96.00	Facility		$4.54	$53.12	$96.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.00 / $2.13 / $3.55	Professional		$2.00	$2.13	$3.55
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2.37 / $2.37 / $2.37	Professional		$2.37	$2.37	$2.37
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6.77 / $19.73 / $36.40	Facility		$6.77	$19.73	$36.40
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.00 / $4.00 / $9.09	Professional		$2.00	$4.00	$9.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.26 / $6.87 / $13.83	Facility		$1.26	$6.87	$13.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.14 / $1.82 / $3.10	Professional		$1.14	$1.82	$3.10
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1.85 / $2.74 / $4.69	Facility		$1.85	$2.74	$4.69
Medcost Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $3.39 / $5.00	Professional		$3.00	$3.39	$5.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $1.30 / $1.30 / $1.88	Professional		$1.30	$1.30	$1.88
United Facility/Professional Professional Modifier Low / Median / High Price $1.42 / $2.27 / $3.46	Professional		$1.42	$2.27	$3.46