Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.02 / $6.17 / $67.61	Facility		$3.02	$6.17	$67.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $3.02 / $79.43	Professional		$3.02	$3.02	$79.43
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $3.63 / $3.63 / $3.63	Professional		$3.63	$3.63	$3.63
BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $100.00 / $181.97	Facility		$16.98	$100.00	$181.97
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.20 / $4.27 / $5.62	Professional		$1.20	$4.27	$5.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.39 / $3.63 / $9.12	Facility		$3.39	$3.63	$9.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.63 / $3.63 / $3.89	Professional		$3.63	$3.63	$3.89
Medcost Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $58.88 / $72.44	Professional		$45.71	$58.88	$72.44
Medcost Facility/Professional Facility Modifier Low / Median / High Price $3.63 / $6.76 / $87.10	Facility		$3.63	$6.76	$87.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $10.96 / $30.20	Professional		$8.91	$10.96	$30.20
United Facility/Professional Facility Modifier Low / Median / High Price $3.63 / $3.80 / $7.76	Facility		$3.63	$3.80	$7.76
United Facility/Professional Professional Modifier Low / Median / High Price $3.09 / $3.80 / $4.17	Professional		$3.09	$3.80	$4.17