Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $50.12 / $128.82	Facility		$23.99	$50.12	$128.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $40.74 / $74.13	Professional		$36.31	$40.74	$74.13
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $32.36 / $38.02	Professional		$28.18	$32.36	$38.02
BCBS Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $43.65 / $47.86	Facility		$38.02	$43.65	$47.86
BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $47.86 / $54.95	Professional		$45.71	$47.86	$54.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $43.65 / $43.65	Facility		$43.65	$43.65	$43.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $43.65 / $43.65	Professional		$43.65	$43.65	$43.65
Medcost Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $46.77 / $54.95	Facility		$39.81	$46.77	$54.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $32.36 / $40.74	Professional		$30.20	$32.36	$40.74
United Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $42.66 / $47.86	Professional		$38.90	$42.66	$47.86