Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.67 / $23.67 / $94.28	Facility		$23.67	$23.67	$94.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.68 / $22.76 / $25.89	Professional		$19.68	$22.76	$25.89
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $22.21 / $22.21 / $22.21	Professional		$22.21	$22.21	$22.21
BCBS Facility/Professional Facility Modifier Low / Median / High Price $13.99 / $21.08 / $33.86	Facility		$13.99	$21.08	$33.86
BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.54 / $24.80 / $30.12	Professional		$22.54	$24.80	$30.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21.26 / $22.54 / $25.87	Facility		$21.26	$22.54	$25.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.54 / $22.54 / $23.21	Professional		$22.54	$22.54	$23.21
Medcost Facility/Professional Facility Modifier Low / Median / High Price $16.72 / $22.54 / $35.24	Facility		$16.72	$22.54	$35.24
Medcost Facility/Professional Professional Modifier Low / Median / High Price $16.72 / $16.72 / $31.34	Professional		$16.72	$16.72	$31.34
Molina Facility/Professional Professional Modifier Low / Median / High Price $22.36 / $23.38 / $54.90	Professional		$22.36	$23.38	$54.90
United Facility/Professional Professional Modifier Low / Median / High Price $19.16 / $23.89 / $26.10	Professional		$19.16	$23.89	$26.10