Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9.44 / $9.44 / $9.44	Facility		$9.44	$9.44	$9.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.18 / $13.16 / $21.08	Professional		$11.18	$13.16	$21.08
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $27.37 / $27.37 / $27.37	Professional	25	$27.37	$27.37	$27.37
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $9.23 / $10.06 / $13.43	Professional		$9.23	$10.06	$13.43
BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.59 / $30.81 / $35.03	Professional		$18.59	$30.81	$35.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.14 / $19.14 / $19.14	Facility		$19.14	$19.14	$19.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.14 / $15.80 / $28.99	Professional		$12.14	$15.80	$28.99
Medcost Facility/Professional Facility Modifier Low / Median / High Price $11.68 / $14.30 / $25.21	Facility		$11.68	$14.30	$25.21
Medcost Facility/Professional Professional Modifier Low / Median / High Price $9.67 / $13.94 / $17.00	Professional		$9.67	$13.94	$17.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.86 / $12.16 / $16.23	Professional		$8.86	$12.16	$16.23
United Facility/Professional Professional Modifier Low / Median / High Price $11.12 / $13.76 / $22.36	Professional		$11.12	$13.76	$22.36