Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $22.91 / $22.91	Facility		$22.91	$22.91	$22.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $22.91 / $53.70	Professional		$12.02	$22.91	$53.70
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $21.88 / $53.70	Professional		$15.49	$21.88	$53.70
BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $36.31 / $64.57	Professional		$29.51	$36.31	$64.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $41.69 / $41.69	Facility		$41.69	$41.69	$41.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $12.30 / $38.90	Professional		$12.30	$12.30	$38.90
Medcost Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $16.60 / $18.62	Professional		$14.45	$16.60	$18.62
Medcost Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $25.70 / $45.71	Facility		$16.98	$25.70	$45.71
Medcost Facility/Professional Professional Modifier Low / Median / High Price $8.32 / $8.32 / $10.23	Professional		$8.32	$8.32	$10.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $19.50 / $30.20	Professional		$19.50	$19.50	$30.20
United Facility/Professional Facility Modifier Low / Median / High Price $10.00 / $16.98 / $19.95	Facility		$10.00	$16.98	$19.95
United Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $14.13 / $18.20	Professional		$9.55	$14.13	$18.20