Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $37.15 / $37.15	Facility		$37.15	$37.15	$37.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $34.67 / $67.61	Professional		$22.91	$34.67	$67.61
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $30.90 / $33.11	Professional		$30.90	$30.90	$33.11
BCBS Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $120.23 / $154.88	Professional		$109.65	$120.23	$154.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $79.43 / $79.43	Facility		$79.43	$79.43	$79.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $30.90 / $30.90	Professional		$30.90	$30.90	$30.90
Medcost Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $47.86 / $104.71	Facility		$30.20	$47.86	$104.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $30.20	Professional		$30.20	$30.20	$30.20
United Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $30.20 / $38.90	Professional		$21.38	$30.20	$38.90