Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.39 / $22.39 / $25.70	Facility		$22.39	$22.39	$25.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $47.86 / $263.03	Professional		$23.99	$47.86	$263.03
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $30.20 / $51.29	Professional		$23.99	$30.20	$51.29
BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $39.81 / $39.81	Professional		$38.90	$39.81	$39.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $45.71 / $45.71	Facility		$45.71	$45.71	$45.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $40.74 / $67.61	Professional		$28.84	$40.74	$67.61
Medcost Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $33.88 / $56.23	Facility		$26.92	$33.88	$56.23
Medcost Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $27.54 / $27.54	Professional		$27.54	$27.54	$27.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $21.38 / $30.20	Professional		$16.60	$21.38	$30.20
United Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $34.67 / $51.29	Professional		$27.54	$34.67	$51.29