Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $54.95 / $154.88	Facility		$25.70	$54.95	$154.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $162.18 / $269.15	Professional		$128.82	$162.18	$269.15
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $138.04 / $309.03	Professional		$75.86	$138.04	$309.03
BCBS Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $194.98 / $213.80	Facility		$194.98	$194.98	$213.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $186.21 / $186.21	Professional		$186.21	$186.21	$186.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $102.33 / $138.04	Facility		$97.72	$102.33	$138.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $181.97 / $281.84	Professional		$107.15	$181.97	$281.84
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 $186.21 / $239.88 / $239.88	Facility		$186.21	$239.88	$239.88
United Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $169.82 / $234.42	Professional		$117.49	$169.82	$234.42