Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9.33 / $9.33 / $9.33	Facility		$9.33	$9.33	$9.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $12.88 / $23.44	Professional		$10.72	$12.88	$23.44
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $27.54 / $27.54 / $27.54	Professional	25	$27.54	$27.54	$27.54
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $10.00 / $11.48	Professional		$8.91	$10.00	$11.48
BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $23.44 / $38.02	Professional		$18.62	$23.44	$38.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $19.05 / $19.05	Facility		$19.05	$19.05	$19.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $16.60 / $34.67	Professional		$12.02	$16.60	$34.67
Medcost Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $17.78 / $19.95	Professional		$14.13	$17.78	$19.95
Medcost Facility/Professional Facility Modifier Low / Median / High Price $11.48 / $15.85 / $25.70	Facility		$11.48	$15.85	$25.70
Medcost Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $9.77 / $9.77	Professional		$9.77	$9.77	$9.77
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.33 / $32.36 / $33.11	Professional		$9.33	$32.36	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $10.23 / $10.23 / $10.23	Facility		$10.23	$10.23	$10.23
United Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $13.49 / $21.38	Professional		$10.72	$13.49	$21.38