Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.89 / $58.88 / $100.00	Facility		$5.89	$58.88	$100.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.91 / $2.04 / $5.75	Professional		$1.91	$2.04	$5.75
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1.86 / $2.19 / $2.63	Professional		$1.86	$2.19	$2.63
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1.62 / $5.89 / $14.45	Facility		$1.62	$5.89	$14.45
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.45 / $2.04 / $3.09	Professional		$1.45	$2.04	$3.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.04 / $2.19 / $2.19	Facility		$2.04	$2.19	$2.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.19 / $2.19 / $2.19	Professional		$2.19	$2.19	$2.19
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1.74 / $2.82 / $7.94	Facility		$1.74	$2.82	$7.94
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 Professional Modifier Low / Median / High Price $2.19 / $2.19 / $2.45	Professional		$2.19	$2.19	$2.45