Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9.74 / $9.74 / $9.74	Facility		$9.74	$9.74	$9.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.00 / $9.74 / $21.69	Professional		$8.00	$9.74	$21.69
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $16.39 / $16.39 / $16.39	Professional		$16.39	$16.39	$16.39
BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.19 / $13.00 / $22.86	Professional		$12.19	$13.00	$22.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.28 / $14.28 / $14.28	Facility		$14.28	$14.28	$14.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.97 / $4.97 / $4.97	Professional		$4.97	$4.97	$4.97
Medcost Facility/Professional Facility Modifier Low / Median / High Price $9.00 / $12.28 / $30.23	Facility		$9.00	$12.28	$30.23
Medcost Facility/Professional Professional Modifier Low / Median / High Price $13.11 / $13.11 / $13.11	Professional		$13.11	$13.11	$13.11
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 $4.05 / $5.80 / $7.02	Professional		$4.05	$5.80	$7.02