Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.60 / $58.45 / $130.18	Facility		$30.60	$58.45	$130.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.25 / $40.71 / $51.30	Professional		$36.25	$40.71	$51.30
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $32.42 / $32.42 / $32.42	Professional		$32.42	$32.42	$32.42
BCBS Facility/Professional Facility Modifier Low / Median / High Price $38.36 / $43.40 / $47.47	Facility		$38.36	$43.40	$47.47
BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.46 / $45.46 / $56.38	Professional		$45.46	$45.46	$56.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $43.83 / $43.83 / $43.83	Facility		$43.83	$43.83	$43.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.83 / $43.83 / $43.83	Professional		$43.83	$43.83	$43.83
Medcost Facility/Professional Facility Modifier Low / Median / High Price $39.70 / $44.79 / $54.97	Facility		$39.70	$44.79	$54.97
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.24 / $32.24 / $40.29	Professional		$32.24	$32.24	$40.29
United Facility/Professional Professional Modifier Low / Median / High Price $39.56 / $42.66 / $45.49	Professional		$39.56	$42.66	$45.49