Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.44 / $70.79 / $104.71	Facility		$23.44	$70.79	$104.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $23.44 / $39.81	Professional		$22.91	$23.44	$39.81
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $23.44 / $27.54	Professional		$14.13	$23.44	$27.54
BCBS Facility/Professional Facility Modifier Low / Median / High Price $7.41 / $19.50 / $33.88	Facility		$7.41	$19.50	$33.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $24.55 / $28.84	Professional		$23.44	$24.55	$28.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $22.91 / $22.91	Facility		$22.91	$22.91	$22.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $22.91 / $22.91	Professional		$22.91	$22.91	$22.91
Medcost Facility/Professional Facility Modifier Low / Median / High Price $14.79 / $24.55 / $64.57	Facility		$14.79	$24.55	$64.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $30.20	Professional		$30.20	$30.20	$30.20
United Facility/Professional Facility Modifier Low / Median / High Price $22.39 / $22.39 / $22.39	Facility		$22.39	$22.39	$22.39
United Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $23.99 / $25.12	Professional		$20.89	$23.99	$25.12