Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $41.69 / $112.20	Facility		$41.69	$41.69	$112.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $41.69 / $41.69	Professional		$41.69	$41.69	$41.69
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $25.12 / $26.30	Professional		$19.05	$25.12	$26.30
BCBS Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $41.69 / $41.69	Facility		$41.69	$41.69	$41.69
BCBS Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $41.69 / $41.69	Professional		$41.69	$41.69	$41.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $41.69 / $41.69	Facility		$41.69	$41.69	$41.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $20.42 / $60.26	Professional		$19.05	$20.42	$60.26
United Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $38.02 / $50.12	Facility		$38.02	$38.02	$50.12
United Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $22.91 / $72.44	Professional		$17.78	$22.91	$72.44