Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.63 / $93.33 / $707.95	Facility		$3.63	$93.33	$707.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.00 / $2.95 / $100.00	Professional		$2.00	$2.95	$100.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2.75 / $3.02 / $15.85	Professional		$2.75	$3.02	$15.85
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5.01 / $6.17 / $10.00	Facility		$5.01	$6.17	$10.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.86 / $2.88 / $7.08	Professional		$1.86	$2.88	$7.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.63 / $2.75 / $2.75	Facility		$2.63	$2.75	$2.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.75 / $2.75 / $3.02	Professional		$2.75	$2.75	$3.02
Medcost Facility/Professional Professional Modifier Low / Median / High Price $6.76 / $12.88 / $85.11	Professional		$6.76	$12.88	$85.11
Medcost Facility/Professional Facility Modifier Low / Median / High Price $2.75 / $3.98 / $9.55	Facility		$2.75	$3.98	$9.55
Medcost Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $48.98 / $48.98	Professional		$48.98	$48.98	$48.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $7.24 / $7.76 / $30.20	Professional		$7.24	$7.76	$30.20
United Facility/Professional Professional Modifier Low / Median / High Price $2.40 / $2.95 / $3.47	Professional		$2.40	$2.95	$3.47