Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $19.05 / $19.05	Facility		$19.05	$19.05	$19.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $18.20 / $19.05	Professional		$10.00	$18.20	$19.05
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $20.89 / $20.89	Professional		$20.89	$20.89	$20.89
BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $25.12 / $30.90	Professional		$22.39	$25.12	$30.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $16.98 / $16.98	Professional		$16.98	$16.98	$16.98
Medcost Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $21.88 / $33.88	Facility		$18.20	$21.88	$33.88
Medcost Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $10.96 / $10.96	Professional		$10.96	$10.96	$10.96
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 Facility Modifier Low / Median / High Price $19.05 / $19.05 / $19.05	Facility		$19.05	$19.05	$19.05
United Facility/Professional Professional Modifier Low / Median / High Price $7.24 / $19.05 / $30.20	Professional		$7.24	$19.05	$30.20