Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.66 / $18.66 / $18.66	Facility		$18.66	$18.66	$18.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.97 / $18.66 / $33.02	Professional		$16.97	$18.66	$33.02
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $24.84 / $24.84 / $24.84	Professional		$24.84	$24.84	$24.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.00 / $27.75 / $39.96	Professional		$22.00	$27.75	$39.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.80 / $29.97 / $33.08	Facility		$16.80	$29.97	$33.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $21.88 / $28.51	Professional		$21.88	$21.88	$28.51
Medcost Facility/Professional Facility Modifier Low / Median / High Price $16.78 / $28.00 / $59.22	Facility		$16.78	$28.00	$59.22
Medcost Facility/Professional Professional Modifier Low / Median / High Price $21.00 / $21.00 / $23.00	Professional		$21.00	$21.00	$23.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $25.48 / $25.48 / $25.48	Professional		$25.48	$25.48	$25.48
United Facility/Professional Professional Modifier Low / Median / High Price $12.54 / $17.98 / $24.24	Professional		$12.54	$17.98	$24.24