Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $30.20 / $134.90	Facility		$30.20	$30.20	$134.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $52.48	Professional		$30.20	$30.20	$52.48
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $8.71 / $24.55 / $28.84	Professional		$8.71	$24.55	$28.84
BCBS Facility/Professional Facility Modifier Low / Median / High Price $15.85 / $28.18 / $53.70	Facility		$15.85	$28.18	$53.70
BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $36.31 / $42.66	Professional		$32.36	$36.31	$42.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $33.88 / $33.88	Facility		$33.88	$33.88	$33.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $33.88 / $33.88	Professional		$33.88	$33.88	$33.88
Medcost Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $36.31 / $41.69	Facility		$30.90	$36.31	$41.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $30.20 / $37.15	Professional		$24.55	$30.20	$37.15
United Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $32.36 / $32.36	Facility		$32.36	$32.36	$32.36
United Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $36.31 / $40.74	Professional		$33.88	$36.31	$40.74