Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.33 / $25.33 / $25.33	Facility		$25.33	$25.33	$25.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.98 / $24.34 / $27.27	Professional		$21.98	$24.34	$27.27
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $20.86 / $20.86 / $20.86	Professional		$20.86	$20.86	$20.86
BCBS Facility/Professional Facility Modifier Low / Median / High Price $337.94 / $337.94 / $337.94	Facility		$337.94	$337.94	$337.94
BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.66 / $28.33 / $40.00	Professional		$22.66	$28.33	$40.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $27.80 / $27.80 / $27.80	Facility		$27.80	$27.80	$27.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.27 / $33.54 / $55.39	Professional		$25.27	$33.54	$55.39
Medcost Facility/Professional Facility Modifier Low / Median / High Price $24.34 / $33.75 / $46.44	Facility		$24.34	$33.75	$46.44
Medcost Facility/Professional Professional Modifier Low / Median / High Price $34.58 / $37.00 / $59.41	Professional		$34.58	$37.00	$59.41
Molina Facility/Professional Professional Modifier Low / Median / High Price $31.61 / $40.55 / $63.26	Professional		$31.61	$40.55	$63.26
United Facility/Professional Facility Modifier Low / Median / High Price $23.29 / $23.29 / $25.62	Facility		$23.29	$23.29	$25.62
United Facility/Professional Professional Modifier Low / Median / High Price $21.10 / $25.20 / $42.97	Professional		$21.10	$25.20	$42.97