Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.54 / $41.54 / $41.54	Facility		$41.54	$41.54	$41.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.33 / $41.54 / $45.24	Professional		$24.33	$41.54	$45.24
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $43.54 / $43.54 / $43.54	Professional		$43.54	$43.54	$43.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $44.57 / $56.54 / $77.31	Professional		$44.57	$56.54	$77.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $35.75 / $35.75 / $55.82	Facility		$35.75	$35.75	$55.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.69 / $28.69 / $28.69	Professional		$28.69	$28.69	$28.69
Medcost Facility/Professional Facility Modifier Low / Median / High Price $39.07 / $51.00 / $87.91	Facility		$39.07	$51.00	$87.91
Medcost Facility/Professional Professional Modifier Low / Median / High Price $42.00 / $42.00 / $42.00	Professional		$42.00	$42.00	$42.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $3,000.00 / $3,000.00 / $3,000.00	Professional		$3,000.00	$3,000.00	$3,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $17.14 / $27.24 / $39.26	Professional		$17.14	$27.24	$39.26