Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $50.12 / $67.61	Facility		$30.20	$50.12	$67.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $22.91 / $37.15	Professional		$19.05	$22.91	$37.15
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $27.54 / $27.54	Professional		$27.54	$27.54	$27.54
BCBS Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $54.95 / $54.95	Facility		$54.95	$54.95	$54.95
BCBS Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $54.95 / $54.95	Professional		$54.95	$54.95	$54.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.62 / $22.39 / $29.51	Facility		$18.62	$22.39	$29.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $20.42 / $44.67	Professional		$9.77	$20.42	$44.67
Molina Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $25.12 / $58.88	Professional		$19.95	$25.12	$58.88
United Facility/Professional Facility Modifier Low / Median / High Price $13.49 / $128.82 / $338.84	Facility		$13.49	$128.82	$338.84
United Facility/Professional Professional Modifier Low / Median / High Price $9.12 / $14.13 / $22.39	Professional		$9.12	$14.13	$22.39