Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $14.13 / $14.13	Facility		$14.13	$14.13	$14.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $14.13 / $23.99	Professional		$11.75	$14.13	$23.99
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $21.38 / $21.38	Professional		$21.38	$21.38	$21.38
BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $28.84 / $36.31	Professional		$19.95	$28.84	$36.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.72 / $15.85 / $44.67	Facility		$3.72	$15.85	$44.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $11.48 / $33.11	Professional		$11.48	$11.48	$33.11
Medcost Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $16.60 / $18.62	Professional		$14.45	$16.60	$18.62
Medcost Facility/Professional Facility Modifier Low / Median / High Price $13.80 / $20.89 / $43.65	Facility		$13.80	$20.89	$43.65
Medcost Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $7.94 / $8.13	Professional		$7.94	$7.94	$8.13
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 $12.59 / $14.79 / $34.67	Facility		$12.59	$14.79	$34.67
United Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $14.13 / $17.78	Professional		$10.47	$14.13	$17.78