Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $19.95 / $19.95	Facility		$19.95	$19.95	$19.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $20.89 / $51.29	Professional		$14.13	$20.89	$51.29
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $12.30 / $15.14	Professional		$12.30	$12.30	$15.14
BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $28.18 / $37.15	Professional		$26.30	$28.18	$37.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $40.74 / $40.74	Facility		$40.74	$40.74	$40.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $10.47 / $10.47	Professional		$10.47	$10.47	$10.47
Medcost Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $26.30 / $66.07	Facility		$16.98	$26.30	$66.07
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 $9.12 / $12.59 / $15.85	Professional		$9.12	$12.59	$15.85