Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.75 / $138.71 / $175.69	Facility		$26.75	$138.71	$175.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.18 / $26.75 / $56.25	Professional		$23.18	$26.75	$56.25
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $21.98 / $28.36 / $40.17	Professional		$21.98	$28.36	$40.17
BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.63 / $26.00 / $36.54	Professional		$23.63	$26.00	$36.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.82 / $35.57 / $60.81	Professional		$28.82	$35.57	$60.81
Medcost Facility/Professional Facility Modifier Low / Median / High Price $23.63 / $30.00 / $41.20	Facility		$23.63	$30.00	$41.20
Medcost Facility/Professional Professional Modifier Low / Median / High Price $22.88 / $22.88 / $22.88	Professional		$22.88	$22.88	$22.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $41.02 / $63.26	Professional		$32.34	$41.02	$63.26
United Facility/Professional Professional Modifier Low / Median / High Price $22.81 / $28.51 / $44.00	Professional		$22.81	$28.51	$44.00