Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.80 / $68.00 / $158.94	Facility		$12.80	$68.00	$158.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.66 / $11.60 / $12.88	Professional		$9.66	$11.60	$12.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $8.94 / $8.94 / $8.94	Professional		$8.94	$8.94	$8.94
BCBS Facility/Professional Facility Modifier Low / Median / High Price $25.37 / $66.68 / $163.72	Facility		$25.37	$66.68	$163.72
BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $35.00 / $43.76	Professional		$12.88	$35.00	$43.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $23.40 / $37.33 / $77.04	Facility		$23.40	$37.33	$77.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.57 / $8.17 / $18.59	Professional		$6.57	$8.17	$18.59
Medcost Facility/Professional Facility Modifier Low / Median / High Price $10.05 / $14.88 / $25.20	Facility		$10.05	$14.88	$25.20
Medcost Facility/Professional Professional Modifier Low / Median / High Price $14.00 / $18.46 / $24.00	Professional		$14.00	$18.46	$24.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $7.08 / $10.19	Professional		$7.08	$7.08	$10.19
United Facility/Professional Professional Modifier Low / Median / High Price $5.41 / $7.73 / $18.00	Professional		$5.41	$7.73	$18.00