Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.00 / $25.00 / $182.45	Facility		$25.00	$25.00	$182.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.34 / $26.02 / $56.40	Professional		$22.34	$26.02	$56.40
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $20.92 / $24.61 / $40.04	Professional		$20.92	$24.61	$40.04
BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.37 / $23.49 / $57.23	Professional		$22.37	$23.49	$57.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.62 / $33.42 / $57.55	Professional		$26.62	$33.42	$57.55
Medcost Facility/Professional Facility Modifier Low / Median / High Price $24.34 / $34.50 / $55.01	Facility		$24.34	$34.50	$55.01
Medcost Facility/Professional Professional Modifier Low / Median / High Price $43.31 / $43.31 / $43.31	Professional		$43.31	$43.31	$43.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $40.55 / $63.26	Professional		$32.34	$40.55	$63.26
United Facility/Professional Professional Modifier Low / Median / High Price $21.30 / $25.97 / $46.04	Professional		$21.30	$25.97	$46.04