Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $23.99 / $23.99	Facility		$23.99	$23.99	$23.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $23.99 / $42.66	Professional		$23.99	$23.99	$42.66
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $14.45 / $23.44	Professional		$14.45	$14.45	$23.44
BCBS Facility/Professional Facility Modifier Low / Median / High Price $17.78 / $38.02 / $67.61	Facility		$17.78	$38.02	$67.61
BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $30.90 / $35.48	Professional		$28.84	$30.90	$35.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $27.54 / $27.54 / $27.54	Facility		$27.54	$27.54	$27.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $27.54 / $27.54	Professional		$27.54	$27.54	$27.54
Medcost Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $29.51 / $33.88	Facility		$25.12	$29.51	$33.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $28.18 / $34.67	Professional		$22.39	$28.18	$34.67
United Facility/Professional Facility Modifier Low / Median / High Price $27.54 / $27.54 / $30.20	Facility		$27.54	$27.54	$30.20
United Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $29.51 / $33.11	Professional		$27.54	$29.51	$33.11