Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.25 / $58.22 / $133.76	Facility		$26.25	$58.22	$133.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $103.86 / $174.32 / $221.90	Professional		$103.86	$174.32	$221.90
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $80.00 / $90.93 / $247.50	Professional		$80.00	$90.93	$247.50
BCBS Facility/Professional Facility Modifier Low / Median / High Price $158.55 / $158.55 / $174.41	Facility		$158.55	$158.55	$174.41
BCBS Facility/Professional Professional Modifier Low / Median / High Price $151.00 / $151.00 / $151.00	Professional		$151.00	$151.00	$151.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $76.28 / $80.09 / $106.83	Facility		$76.28	$80.09	$106.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.93 / $170.62 / $288.62	Professional		$102.93	$170.62	$288.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $17.00 / $25.00 / $50.00	Professional		$17.00	$25.00	$50.00
United Facility/Professional Professional Modifier Low / Median / High Price $114.94 / $150.06 / $265.00	Professional		$114.94	$150.06	$265.00