Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.95 / $29.95 / $29.95	Facility		$29.95	$29.95	$29.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.73 / $29.95 / $52.98	Professional		$28.73	$29.95	$52.98
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $42.35 / $42.35 / $42.35	Professional		$42.35	$42.35	$42.35
BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.00 / $43.07 / $64.13	Professional		$35.00	$43.07	$64.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $26.95 / $48.99 / $54.09	Facility		$26.95	$48.99	$54.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.76 / $36.39 / $48.99	Professional		$35.76	$36.39	$48.99
Medcost Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $44.00 / $95.02	Facility		$26.92	$44.00	$95.02
Medcost Facility/Professional Professional Modifier Low / Median / High Price $34.00 / $34.00 / $37.00	Professional		$34.00	$34.00	$37.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.88 / $40.88 / $40.88	Professional		$40.88	$40.88	$40.88
United Facility/Professional Professional Modifier Low / Median / High Price $20.12 / $29.92 / $40.69	Professional		$20.12	$29.92	$40.69