Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $33.11 / $33.11	Facility		$33.11	$33.11	$33.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $30.90 / $33.11	Professional		$18.20	$30.90	$33.11
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $28.84 / $28.84	Professional		$28.84	$28.84	$28.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $43.65 / $52.48	Professional		$36.31	$43.65	$52.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $18.62 / $18.62	Professional		$18.62	$18.62	$18.62
Medcost Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $38.02 / $45.71	Facility		$30.90	$38.02	$45.71
Medcost Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $18.20 / $18.20	Professional		$18.20	$18.20	$18.20
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 $33.11 / $42.66 / $42.66	Facility		$33.11	$42.66	$42.66
United Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $32.36 / $51.29	Professional		$12.30	$32.36	$51.29