Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $32.36 / $32.36	Facility		$32.36	$32.36	$32.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $33.11 / $57.54	Professional		$27.54	$33.11	$57.54
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $44.67 / $44.67	Professional		$44.67	$44.67	$44.67
BCBS Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $63.10 / $77.62	Professional		$34.67	$63.10	$77.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $37.15 / $104.71	Facility		$36.31	$37.15	$104.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $26.92 / $75.86	Professional		$26.92	$26.92	$75.86
Medcost Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $33.11 / $42.66	Professional		$33.11	$33.11	$42.66
Medcost Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $46.77 / $104.71	Facility		$28.84	$46.77	$104.71
Medcost Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $18.62 / $19.05	Professional		$18.62	$18.62	$19.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $44.67	Professional		$30.20	$30.20	$44.67
United Facility/Professional Facility Modifier Low / Median / High Price $0.05 / $33.88 / $79.43	Facility		$0.05	$33.88	$79.43
United Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $33.11 / $41.69	Professional		$24.55	$33.11	$41.69