Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.88 / $12.88 / $12.88	Facility		$12.88	$12.88	$12.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $16.98 / $26.92	Professional		$12.88	$16.98	$26.92
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $16.60 / $16.60	Professional		$16.60	$16.60	$16.60
BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $37.15 / $46.77	Professional		$33.11	$37.15	$46.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $28.84 / $43.65	Facility		$28.84	$28.84	$43.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $20.89 / $29.51	Professional		$20.89	$20.89	$29.51
Medcost Facility/Professional Facility Modifier Low / Median / High Price $13.49 / $20.42 / $50.12	Facility		$13.49	$20.42	$50.12
Medcost Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $12.02 / $14.13	Professional		$12.02	$12.02	$14.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $30.20	Professional		$30.20	$30.20	$30.20
United Facility/Professional Facility Modifier Low / Median / High Price $0.03 / $21.38 / $28.84	Facility		$0.03	$21.38	$28.84
United Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $17.38 / $27.54	Professional		$11.48	$17.38	$27.54