Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.97 / $28.97 / $28.97	Facility		$28.97	$28.97	$28.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $28.97 / $31.73	Professional		$11.75	$28.97	$31.73
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $16.48 / $25.37 / $36.24	Professional		$16.48	$25.37	$36.24
BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.50 / $36.24 / $43.61	Professional		$22.50	$36.24	$43.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $24.26 / $24.26 / $25.76	Facility		$24.26	$24.26	$25.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.71 / $22.94 / $28.48	Professional		$17.71	$22.94	$28.48
Medcost Facility/Professional Facility Modifier Low / Median / High Price $17.68 / $30.19 / $56.91	Facility		$17.68	$30.19	$56.91
Medcost Facility/Professional Professional Modifier Low / Median / High Price $25.43 / $25.43 / $25.43	Professional		$25.43	$25.43	$25.43
Molina Facility/Professional Professional Modifier Low / Median / High Price $24.48 / $24.48 / $3,000.00	Professional		$24.48	$24.48	$3,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $12.05 / $17.63 / $25.80	Professional		$12.05	$17.63	$25.80