Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $28.84 / $28.84	Facility		$28.84	$28.84	$28.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $36.31 / $52.48	Professional		$25.70	$36.31	$52.48
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $46.77 / $46.77	Professional		$46.77	$46.77	$46.77
BCBS Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $60.26 / $70.79	Professional		$34.67	$60.26	$70.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $48.98 / $112.20	Facility		$26.92	$48.98	$112.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $35.48 / $83.18	Professional		$35.48	$35.48	$83.18
Medcost Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $37.15 / $41.69	Professional		$30.20	$37.15	$41.69
Medcost Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $47.86 / $97.72	Facility		$30.20	$47.86	$97.72
Medcost Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $19.05 / $19.50	Professional		$19.05	$19.05	$19.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $40.74	Professional		$30.20	$30.20	$40.74
United Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $38.02 / $83.18	Facility		$30.20	$38.02	$83.18
United Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $30.20 / $40.74	Professional		$23.44	$30.20	$40.74