Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.72 / $6.72 / $6.72	Facility		$6.72	$6.72	$6.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.76 / $6.72 / $8.35	Professional		$4.76	$6.72	$8.35
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $6.34 / $6.34 / $6.34	Professional		$6.34	$6.34	$6.34
BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.00 / $12.00 / $15.74	Professional		$12.00	$12.00	$15.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Facility		$30.00	$30.00	$30.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.15 / $7.15 / $7.15	Professional		$7.15	$7.15	$7.15
Medcost Facility/Professional Facility Modifier Low / Median / High Price $6.72 / $11.12 / $16.05	Facility		$6.72	$11.12	$16.05
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 $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 $3.40 / $5.11 / $7.12	Professional		$3.40	$5.11	$7.12