Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $28.18 / $69.18	Facility		$14.13	$28.18	$69.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $16.98 / $33.11	Professional		$14.13	$16.98	$33.11
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $8.71 / $12.02 / $19.05	Professional		$8.71	$12.02	$19.05
BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.22 / $28.84 / $50.12	Facility		$16.22	$28.84	$50.12
BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $21.88 / $30.20	Professional		$15.49	$21.88	$30.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.75 / $45.71 / $102.33	Facility		$11.75	$45.71	$102.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $11.75 / $33.11	Professional		$8.91	$11.75	$33.11
Medcost Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $19.05 / $41.69	Facility		$14.13	$19.05	$41.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $24.55 / $120.23 / $186.21	Facility		$24.55	$120.23	$186.21
United Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $20.42 / $51.29	Professional		$11.22	$20.42	$51.29