Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.16 / $29.16 / $29.16	Facility		$29.16	$29.16	$29.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.26 / $36.60 / $70.59	Professional		$23.26	$36.60	$70.59
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $40.47 / $40.47 / $40.47	Professional		$40.47	$40.47	$40.47
BCBS Facility/Professional Professional Modifier Low / Median / High Price $36.47 / $38.29 / $66.81	Professional		$36.47	$38.29	$66.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $42.74 / $42.74 / $42.74	Facility		$42.74	$42.74	$42.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.88 / $14.88 / $14.88	Professional		$14.88	$14.88	$14.88
Medcost Facility/Professional Facility Modifier Low / Median / High Price $29.16 / $36.47 / $82.48	Facility		$29.16	$36.47	$82.48
Medcost Facility/Professional Professional Modifier Low / Median / High Price $32.04 / $32.04 / $32.04	Professional		$32.04	$32.04	$32.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $3,000.00 / $3,000.00 / $3,000.00	Professional		$3,000.00	$3,000.00	$3,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $12.13 / $17.55 / $22.57	Professional		$12.13	$17.55	$22.57