Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Facility		$30.00	$30.00	$30.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $26.63 / $26.63 / $26.63	Professional		$26.63	$26.63	$26.63
BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.04 / $68.00 / $103.16	Professional		$38.04	$68.00	$103.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.27 / $17.27 / $44.32	Facility		$17.27	$17.27	$44.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.68 / $14.68 / $14.68	Professional		$14.68	$14.68	$14.68
Medcost Facility/Professional Facility Modifier Low / Median / High Price $30.00 / $36.93 / $63.48	Facility		$30.00	$36.93	$63.48
Medcost Facility/Professional Professional Modifier Low / Median / High Price $36.93 / $36.93 / $36.93	Professional		$36.93	$36.93	$36.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00
United Facility/Professional Professional Modifier Low / Median / High Price $14.77 / $22.16 / $29.54	Professional		$14.77	$22.16	$29.54