Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $19.95 / $35.48	Facility		$19.95	$19.95	$35.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $20.89 / $48.98	Professional		$13.80	$20.89	$48.98
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $17.78 / $35.48	Professional		$12.59	$17.78	$35.48
BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $19.05 / $19.05	Facility		$19.05	$19.05	$19.05
BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $19.05 / $19.05	Professional		$19.05	$19.05	$19.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $10.00 / $10.00	Professional		$10.00	$10.00	$10.00
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 Professional Modifier Low / Median / High Price $6.92 / $11.48 / $16.60	Professional		$6.92	$11.48	$16.60