Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.15 / $28.15 / $28.15	Facility		$28.15	$28.15	$28.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.26 / $28.15 / $46.84	Professional		$27.26	$28.15	$46.84
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $30.68 / $30.68 / $44.05	Professional		$30.68	$30.68	$44.05
BCBS Facility/Professional Professional Modifier Low / Median / High Price $42.44 / $55.38 / $75.72	Professional		$42.44	$55.38	$75.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.03 / $34.77 / $38.39	Facility		$28.03	$34.77	$38.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.38 / $25.38 / $37.84	Professional		$25.38	$25.38	$37.84
Medcost Facility/Professional Facility Modifier Low / Median / High Price $26.47 / $46.00 / $98.82	Facility		$26.47	$46.00	$98.82
Medcost Facility/Professional Professional Modifier Low / Median / High Price $35.00 / $35.00 / $38.00	Professional		$35.00	$35.00	$38.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $42.52 / $42.52 / $42.52	Professional		$42.52	$42.52	$42.52
United Facility/Professional Professional Modifier Low / Median / High Price $20.87 / $30.70 / $37.85	Professional		$20.87	$30.70	$37.85