Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.80 / $14.80 / $14.80	Facility		$14.80	$14.80	$14.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.78 / $14.80 / $24.62	Professional		$13.78	$14.80	$24.62
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $16.13 / $16.13 / $16.13	Professional		$16.13	$16.13	$16.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.00 / $24.61 / $35.17	Professional		$20.00	$24.61	$35.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.73 / $18.44 / $20.36	Facility		$14.73	$18.44	$20.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.46 / $18.44 / $19.89	Professional		$13.46	$18.44	$19.89
Medcost Facility/Professional Facility Modifier Low / Median / High Price $14.01 / $24.00 / $51.96	Facility		$14.01	$24.00	$51.96
Medcost Facility/Professional Professional Modifier Low / Median / High Price $19.00 / $19.00 / $20.00	Professional		$19.00	$19.00	$20.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $22.34 / $22.34 / $22.34	Professional		$22.34	$22.34	$22.34
United Facility/Professional Professional Modifier Low / Median / High Price $11.05 / $16.35 / $19.97	Professional		$11.05	$16.35	$19.97