Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.69 / $29.71 / $29.71	Facility		$24.69	$29.71	$29.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.71 / $29.71 / $37.43	Professional		$29.71	$29.71	$37.43
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $29.71 / $29.71 / $29.71	Professional		$29.71	$29.71	$29.71
BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.38 / $35.25 / $61.90	Facility		$19.38	$35.25	$61.90
BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.71 / $31.28 / $40.63	Professional		$29.71	$31.28	$40.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $29.33 / $29.33 / $29.33	Facility		$29.33	$29.33	$29.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.33 / $29.33 / $29.33	Professional		$29.33	$29.33	$29.33
Medcost Facility/Professional Facility Modifier Low / Median / High Price $29.71 / $32.68 / $73.33	Facility		$29.71	$32.68	$73.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $24.92 / $25.65 / $32.06	Professional		$24.92	$25.65	$32.06
United Facility/Professional Professional Modifier Low / Median / High Price $25.44 / $27.98 / $31.28	Professional		$25.44	$27.98	$31.28