Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.00 / $42.00 / $42.00	Facility		$42.00	$42.00	$42.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.00 / $42.00 / $42.00	Professional		$42.00	$42.00	$42.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $53.42 / $53.42 / $53.42	Professional		$53.42	$53.42	$53.42
BCBS Facility/Professional Professional Modifier Low / Median / High Price $53.42 / $94.00 / $144.86	Professional		$53.42	$94.00	$144.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $41.25 / $41.25 / $62.23	Facility		$41.25	$41.25	$62.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.75 / $39.75 / $39.75	Professional		$39.75	$39.75	$39.75
Medcost Facility/Professional Facility Modifier Low / Median / High Price $42.00 / $51.86 / $88.87	Facility		$42.00	$51.86	$88.87
Medcost Facility/Professional Professional Modifier Low / Median / High Price $51.86 / $51.86 / $51.86	Professional		$51.86	$51.86	$51.86
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 $20.74 / $31.12 / $41.49	Professional		$20.74	$31.12	$41.49