Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $147.91 / $194.98	Facility		$25.70	$147.91	$194.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $41.69 / $89.13	Professional		$25.70	$41.69	$89.13
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $33.11 / $44.67	Professional		$26.30	$33.11	$44.67
BCBS Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $194.98 / $194.98	Facility		$194.98	$194.98	$194.98
BCBS Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $79.43 / $79.43	Professional		$79.43	$79.43	$79.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $91.20 / $91.20	Facility		$91.20	$91.20	$91.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $50.12 / $81.28	Professional		$34.67	$50.12	$81.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $537.03 / $1,621.81	Facility		$213.80	$537.03	$1,621.81
United Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $39.81 / $85.11	Professional		$26.92	$39.81	$85.11