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 $24.51 / $43.23 / $47.35	Professional		$24.51	$43.23	$47.35
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $37.86 / $37.86 / $59.22	Professional		$37.86	$37.86	$59.22
BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.00 / $43.27 / $63.61	Professional		$33.00	$43.27	$63.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $35.60 / $35.60 / $37.78	Facility		$35.60	$35.60	$37.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.99 / $35.59 / $42.48	Professional		$25.99	$35.59	$42.48
Medcost Facility/Professional Facility Modifier Low / Median / High Price $35.65 / $45.39 / $87.50	Facility		$35.65	$45.39	$87.50
Medcost Facility/Professional Professional Modifier Low / Median / High Price $44.56 / $44.56 / $44.56	Professional		$44.56	$44.56	$44.56
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 / $26.14 / $34.85	Professional		$17.98	$26.14	$34.85