Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.30 / $51.29 / $123.03	Facility		$26.30	$51.29	$123.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $125.89 / $213.80	Professional		$75.86	$125.89	$213.80
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $93.33 / $107.15	Professional		$75.86	$93.33	$107.15
BCBS Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $158.49 / $173.78	Facility		$158.49	$158.49	$173.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $151.36 / $151.36	Professional		$151.36	$151.36	$151.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $79.43 / $107.15	Facility		$75.86	$79.43	$107.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $169.82 / $288.40	Professional		$85.11	$169.82	$288.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $25.12 / $50.12	Professional		$21.38	$25.12	$50.12
United Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $190.55 / $190.55	Facility		$147.91	$190.55	$190.55
United Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $151.36 / $257.04	Professional		$112.20	$151.36	$257.04