Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.33 / $65.84 / $159.53	Facility		$48.33	$65.84	$159.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.21 / $74.50 / $141.19	Professional		$52.21	$74.50	$141.19
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $87.27 / $87.27 / $145.10	Professional		$87.27	$87.27	$145.10
BCBS Facility/Professional Facility Modifier Low / Median / High Price $59.11 / $59.11 / $59.11	Facility		$59.11	$59.11	$59.11
BCBS Facility/Professional Professional Modifier Low / Median / High Price $177.00 / $177.00 / $177.00	Professional		$177.00	$177.00	$177.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $43.04 / $48.19 / $388.28	Facility		$43.04	$48.19	$388.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.78 / $103.40 / $159.57	Professional		$64.78	$103.40	$159.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $32.34	Professional		$32.34	$32.34	$32.34
United Facility/Professional Facility Modifier Low / Median / High Price $225.00 / $513.00 / $1,739.00	Facility		$225.00	$513.00	$1,739.00
United Facility/Professional Professional Modifier Low / Median / High Price $66.56 / $87.44 / $194.76	Professional		$66.56	$87.44	$194.76