Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.89 / $380.19 / $912.01	Facility		$3.89	$380.19	$912.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.00 / $3.98 / $229.09	Professional		$2.00	$3.98	$229.09
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2.09 / $2.95 / $5.13	Professional		$2.09	$2.95	$5.13
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4.47 / $5.01 / $11.22	Facility		$4.47	$5.01	$11.22
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.88 / $3.24 / $5.50	Professional		$2.88	$3.24	$5.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.75 / $2.95 / $2.95	Facility		$2.75	$2.95	$2.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.95 / $2.95 / $3.16	Professional		$2.95	$2.95	$3.16
Medcost Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $199.53 / $281.84	Professional		$114.82	$199.53	$281.84
Medcost Facility/Professional Facility Modifier Low / Median / High Price $2.95 / $4.17 / $22.39	Facility		$2.95	$4.17	$22.39
Medcost Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $87.10 / $87.10	Professional		$87.10	$87.10	$87.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.46 / $7.59 / $30.20	Professional		$6.46	$7.59	$30.20
United Facility/Professional Professional Modifier Low / Median / High Price $2.51 / $3.09 / $3.63	Professional		$2.51	$3.09	$3.63