Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.23 / $43.23 / $43.23	Facility		$43.23	$43.23	$43.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.25 / $43.23 / $47.35	Professional		$23.25	$43.23	$47.35
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $37.86 / $48.67 / $54.08	Professional		$37.86	$48.67	$54.08
BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.00 / $41.61 / $58.70	Professional		$33.00	$41.61	$58.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $36.21 / $36.21 / $36.21	Facility		$36.21	$36.21	$36.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.43 / $34.22 / $42.48	Professional		$26.43	$34.22	$42.48
Medcost Facility/Professional Facility Modifier Low / Median / High Price $26.38 / $44.96 / $84.93	Facility		$26.38	$44.96	$84.93
Medcost Facility/Professional Professional Modifier Low / Median / High Price $37.95 / $37.95 / $37.95	Professional		$37.95	$37.95	$37.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $36.53 / $36.53 / $3,000.00	Professional		$36.53	$36.53	$3,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $17.98 / $26.30 / $38.51	Professional		$17.98	$26.30	$38.51