Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $28.50 / $105.00 / $105.00	Professional		$28.50	$105.00	$105.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.00 / $29.82 / $50.00	Professional		$28.00	$29.82	$50.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $45.00 / $45.00 / $60.00	Facility		$45.00	$45.00	$60.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $45.00 / $62.50	Professional		$45.00	$45.00	$62.50
Medcost Facility/Professional Facility Modifier Low / Median / High Price $30.00 / $30.00 / $36.00	Facility		$30.00	$30.00	$36.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $35.00 / $35.00 / $35.00	Professional		$35.00	$35.00	$35.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $55.00	Professional		$30.00	$30.00	$55.00