Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.21 / $19.21 / $77.30	Facility		$19.21	$19.21	$77.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.86 / $18.48 / $23.05	Professional		$16.86	$18.48	$23.05
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $32.76 / $32.76 / $32.76	Professional		$32.76	$32.76	$32.76
BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.46 / $24.68 / $39.95	Facility		$14.46	$24.68	$39.95
BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.30 / $25.25 / $28.15	Professional		$18.30	$25.25	$28.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.26 / $18.30 / $18.30	Facility		$17.26	$18.30	$18.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.30 / $18.30 / $18.30	Professional		$18.30	$18.30	$18.30
Medcost Facility/Professional Facility Modifier Low / Median / High Price $19.21 / $23.05 / $45.09	Facility		$19.21	$23.05	$45.09
Medcost Facility/Professional Professional Modifier Low / Median / High Price $30.85 / $30.85 / $30.85	Professional		$30.85	$30.85	$30.85
United Facility/Professional Professional Modifier Low / Median / High Price $18.30 / $18.30 / $18.30	Professional		$18.30	$18.30	$18.30