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 $19.05 / $33.88 / $37.15	Professional		$19.05	$33.88	$37.15
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $30.90 / $44.67	Professional		$30.90	$30.90	$44.67
BCBS Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $46.77 / $56.23	Professional		$36.31	$46.77	$56.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $25.70 / $25.70	Professional		$25.70	$25.70	$25.70
Medcost Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $40.74 / $50.12	Facility		$33.88	$40.74	$50.12
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 $38.02 / $46.77 / $46.77	Facility		$38.02	$46.77	$46.77
United Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $33.11 / $51.29	Professional		$13.49	$33.11	$51.29