Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $19.05 / $19.05	Facility		$19.05	$19.05	$19.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $25.70 / $52.48	Professional		$20.89	$25.70	$52.48
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $19.95 / $26.92	Professional		$15.85	$19.95	$26.92
BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $45.71 / $70.79	Professional		$33.11	$45.71	$70.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $37.15 / $37.15	Facility		$37.15	$37.15	$37.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $31.62 / $66.07	Professional		$22.91	$31.62	$66.07
Medcost Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $33.11 / $38.02	Professional		$26.92	$33.11	$38.02
Medcost Facility/Professional Facility Modifier Low / Median / High Price $22.39 / $30.20 / $50.12	Facility		$22.39	$30.20	$50.12
Medcost Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $10.00 / $10.00	Professional		$10.00	$10.00	$10.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $19.95 / $19.95	Facility		$19.95	$19.95	$19.95
United Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $26.30 / $42.66	Professional		$20.89	$26.30	$42.66