Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.15 / $12.15 / $12.15	Facility		$12.15	$12.15	$12.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.98 / $13.94 / $28.20	Professional		$9.98	$13.94	$28.20
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $18.80 / $23.13 / $26.00	Professional		$18.80	$23.13	$26.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.20 / $16.00 / $28.13	Professional		$15.20	$16.00	$28.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.80 / $17.80 / $17.80	Facility		$17.80	$17.80	$17.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.20 / $6.20 / $6.20	Professional		$6.20	$6.20	$6.20
Medcost Facility/Professional Facility Modifier Low / Median / High Price $12.15 / $15.34 / $41.57	Facility		$12.15	$15.34	$41.57
Medcost Facility/Professional Professional Modifier Low / Median / High Price $17.37 / $17.37 / $17.37	Professional		$17.37	$17.37	$17.37
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 $5.05 / $7.31 / $9.40	Professional		$5.05	$7.31	$9.40