Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $19.05 / $19.38	Facility		$19.05	$19.05	$19.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.82 / $20.84 / $65.31	Professional		$17.82	$20.84	$65.31
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $15.65 / $15.93 / $31.20	Professional		$15.65	$15.93	$31.20
BCBS Facility/Professional Facility Modifier Low / Median / High Price $163.72 / $297.70 / $474.14	Facility		$163.72	$297.70	$474.14
BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.43 / $28.50 / $50.69	Professional		$17.43	$28.50	$50.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $112.00 / $112.00 / $112.00	Facility		$112.00	$112.00	$112.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.32 / $32.82 / $80.98	Professional		$20.32	$32.82	$80.98
Medcost Facility/Professional Facility Modifier Low / Median / High Price $18.71 / $28.00 / $67.12	Facility		$18.71	$28.00	$67.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $22.66 / $22.66 / $22.66	Professional		$22.66	$22.66	$22.66
United Facility/Professional Facility Modifier Low / Median / High Price $543.54 / $627.39 / $826.88	Facility		$543.54	$627.39	$826.88
United Facility/Professional Professional Modifier Low / Median / High Price $18.45 / $28.39 / $66.12	Professional		$18.45	$28.39	$66.12