Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $19.05 / $19.05	Facility		$19.05	$19.05	$19.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $19.05 / $19.05	Professional		$19.05	$19.05	$19.05
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $14.13 / $14.13	Professional		$14.13	$14.13	$14.13
BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.59 / $26.30 / $44.67	Facility		$12.59	$26.30	$44.67
BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $23.44 / $27.54	Professional		$22.39	$23.44	$27.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21.38 / $21.38 / $21.38	Facility		$21.38	$21.38	$21.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $21.38 / $21.38	Professional		$21.38	$21.38	$21.38
Medcost Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $22.91 / $28.18	Facility		$19.50	$22.91	$28.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $21.88 / $30.20	Professional		$17.38	$21.88	$30.20
United Facility/Professional Facility Modifier Low / Median / High Price $14.79 / $14.79 / $14.79	Facility		$14.79	$14.79	$14.79
United Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $22.91 / $27.54	Professional		$22.91	$22.91	$27.54