Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.96 / $13.49 / $47.86	Facility		$10.96	$13.49	$47.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $10.96 / $25.70	Professional		$10.00	$10.96	$25.70
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $10.72 / $10.72	Professional		$10.72	$10.72	$10.72
BCBS Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $724.44 / $1,819.70	Facility		$61.66	$724.44	$1,819.70
BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $15.14 / $21.38	Professional		$12.88	$15.14	$21.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.72 / $11.22 / $11.22	Facility		$10.72	$11.22	$11.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $11.22 / $11.22	Professional		$11.22	$11.22	$11.22
Medcost Facility/Professional Facility Modifier Low / Median / High Price $11.75 / $15.85 / $354.81	Facility		$11.75	$15.85	$354.81
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 $11.22 / $12.02 / $19.05	Professional		$11.22	$12.02	$19.05