Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $47.86 / $47.86	Facility		$41.69	$47.86	$47.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $56.23 / $114.82	Professional		$26.92	$56.23	$114.82
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $154.88 / $239.88	Professional		$60.26	$154.88	$239.88
BCBS Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $616.60 / $616.60	Facility		$537.03	$616.60	$616.60
BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $21.88 / $21.88	Professional		$21.88	$21.88	$21.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $223.87 / $223.87	Facility		$173.78	$223.87	$223.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $38.02 / $44.67	Professional		$38.02	$38.02	$44.67
United Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $436.52 / $501.19	Facility		$245.47	$436.52	$501.19
United Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $112.20 / $239.88	Professional		$89.13	$112.20	$239.88