Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.80 / $14.99 / $24.64	Professional		$7.80	$14.99	$24.64
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $16.13 / $16.13 / $19.07	Professional		$16.13	$16.13	$19.07
BCBS Facility/Professional Facility Modifier Low / Median / High Price $79.48 / $104.60 / $220.87	Facility		$79.48	$104.60	$220.87
BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.55 / $11.89 / $21.37	Professional		$10.55	$11.89	$21.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.08 / $12.08 / $12.08	Facility		$12.08	$12.08	$12.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.77 / $15.77 / $15.77	Professional		$15.77	$15.77	$15.77
Medcost Facility/Professional Facility Modifier Low / Median / High Price $9.35 / $17.13 / $26.36	Facility		$9.35	$17.13	$26.36
Medcost Facility/Professional Professional Modifier Low / Median / High Price $16.62 / $17.13 / $17.39	Professional		$16.62	$17.13	$17.39
Molina Facility/Professional Professional Modifier Low / Median / High Price $20.97 / $152.00 / $220.40	Professional		$20.97	$152.00	$220.40
United Facility/Professional Professional Modifier Low / Median / High Price $15.09 / $17.97 / $29.43	Professional		$15.09	$17.97	$29.43