Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.59 / $55.63 / $96.22	Facility		$5.59	$55.63	$96.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.33 / $2.67 / $3.49	Professional		$2.33	$2.67	$3.49
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2.08 / $2.08 / $2.99	Professional		$2.08	$2.08	$2.99
BCBS Facility/Professional Facility Modifier Low / Median / High Price $9.88 / $24.07 / $46.00	Facility		$9.88	$24.07	$46.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.99 / $6.00 / $14.00	Professional		$2.99	$6.00	$14.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.58 / $8.65 / $17.78	Facility		$1.58	$8.65	$17.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.48 / $2.29 / $4.13	Professional		$1.48	$2.29	$4.13
Medcost Facility/Professional Facility Modifier Low / Median / High Price $2.33 / $3.44 / $9.63	Facility		$2.33	$3.44	$9.63
Medcost Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $4.26 / $9.00	Professional		$3.00	$4.26	$9.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $1.64 / $1.64 / $2.37	Professional		$1.64	$1.64	$2.37
United Facility/Professional Facility Modifier Low / Median / High Price $165.52 / $191.05 / $251.79	Facility		$165.52	$191.05	$251.79
United Facility/Professional Professional Modifier Low / Median / High Price $1.26 / $2.02 / $6.26	Professional		$1.26	$2.02	$6.26