Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.01 / $741.31 / $741.31	Facility		$5.01	$741.31	$741.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $5.01 / $10.47	Professional		$5.01	$5.01	$10.47
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $7.76 / $7.76 / $7.76	Professional		$7.76	$7.76	$7.76
BCBS Facility/Professional Facility Modifier Low / Median / High Price $10.96 / $20.42 / $36.31	Facility		$10.96	$20.42	$36.31
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $11.48 / $21.88	Professional		$5.01	$11.48	$21.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5.13 / $5.50 / $5.50	Facility		$5.13	$5.50	$5.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.50 / $5.50 / $5.89	Professional		$5.50	$5.50	$5.89
Medcost Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $120.23 / $199.53	Professional		$38.02	$120.23	$199.53
Medcost Facility/Professional Facility Modifier Low / Median / High Price $5.50 / $9.77 / $70.79	Facility		$5.50	$9.77	$70.79
Medcost Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $51.29 / $51.29	Professional		$51.29	$51.29	$51.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $19.95 / $30.20	Professional		$14.13	$19.95	$30.20
United Facility/Professional Professional Modifier Low / Median / High Price $4.68 / $5.75 / $6.92	Professional		$4.68	$5.75	$6.92