Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.62 / $21.88 / $51.29	Facility		$18.62	$21.88	$51.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $21.88 / $28.84	Professional		$21.88	$21.88	$28.84
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $18.62 / $21.88	Professional		$18.62	$18.62	$21.88
BCBS Facility/Professional Facility Modifier Low / Median / High Price $8.51 / $15.85 / $30.20	Facility		$8.51	$15.85	$30.20
BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $23.44 / $27.54	Professional		$21.88	$23.44	$27.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $21.88 / $21.88	Facility		$21.88	$21.88	$21.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $21.88 / $21.88	Professional		$21.88	$21.88	$21.88
Medcost Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $24.55 / $63.10	Facility		$15.14	$24.55	$63.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $23.44 / $30.20	Professional		$19.05	$23.44	$30.20
United Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $21.88 / $21.88	Facility		$21.88	$21.88	$21.88
United Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $22.91 / $23.99	Professional		$19.95	$22.91	$23.99