Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8.64 / $8.64 / $8.64	Facility		$8.64	$8.64	$8.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.71 / $8.64 / $21.12	Professional		$6.71	$8.64	$21.12
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $19.46 / $19.46 / $19.46	Professional		$19.46	$19.46	$19.46
BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.81 / $12.00 / $21.10	Professional		$10.81	$12.00	$21.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.67 / $12.67 / $12.67	Facility		$12.67	$12.67	$12.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.41 / $4.41 / $4.41	Professional		$4.41	$4.41	$4.41
Medcost Facility/Professional Facility Modifier Low / Median / High Price $8.64 / $14.97 / $26.82	Facility		$8.64	$14.97	$26.82
Medcost Facility/Professional Professional Modifier Low / Median / High Price $16.05 / $16.05 / $16.05	Professional		$16.05	$16.05	$16.05
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 $3.60 / $4.99 / $5.85	Professional		$3.60	$4.99	$5.85