Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $52.48 / $117.49	Facility		$18.20	$52.48	$117.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $18.20 / $30.20	Professional		$18.20	$18.20	$30.20
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $14.79 / $17.38	Professional		$14.79	$14.79	$17.38
BCBS Facility/Professional Facility Modifier Low / Median / High Price $7.08 / $15.14 / $31.62	Facility		$7.08	$15.14	$31.62
BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $22.91 / $26.30	Professional		$20.42	$22.91	$26.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $20.42 / $20.42 / $20.42	Facility		$20.42	$20.42	$20.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $20.42 / $20.42	Professional		$20.42	$20.42	$20.42
Medcost Facility/Professional Facility Modifier Low / Median / High Price $18.62 / $21.88 / $25.12	Facility		$18.62	$21.88	$25.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $21.38 / $30.20	Professional		$15.49	$21.38	$30.20
United Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $20.89 / $20.89	Facility		$20.89	$20.89	$20.89
United Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $21.88 / $25.12	Professional		$20.89	$21.88	$25.12