Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $28.18 / $28.18	Facility		$28.18	$28.18	$28.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $22.91 / $30.90	Professional		$12.88	$22.91	$30.90
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $25.12 / $35.48	Professional		$16.60	$25.12	$35.48
BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $37.15 / $45.71	Professional		$26.92	$37.15	$45.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $23.99 / $57.54	Facility		$23.99	$23.99	$57.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $17.78 / $41.69	Professional		$17.78	$17.78	$41.69
Medcost Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $18.20 / $23.99	Professional		$18.20	$18.20	$23.99
Medcost Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $31.62 / $58.88	Facility		$21.88	$31.62	$58.88
Medcost Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $10.47 / $12.88	Professional		$10.47	$10.47	$12.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $24.55 / $30.20	Professional		$24.55	$24.55	$30.20
United Facility/Professional Facility Modifier Low / Median / High Price $18.62 / $23.99 / $27.54	Facility		$18.62	$23.99	$27.54
United Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $17.78 / $25.70	Professional		$13.49	$17.78	$25.70