Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.25 / $50.50 / $170.55	Facility		$26.25	$50.50	$170.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.31 / $139.21 / $280.00	Professional		$117.31	$139.21	$280.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $108.42 / $123.92 / $311.72	Professional		$108.42	$123.92	$311.72
BCBS Facility/Professional Facility Modifier Low / Median / High Price $196.35 / $196.35 / $215.99	Facility		$196.35	$196.35	$215.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $187.00 / $187.00 / $187.00	Professional		$187.00	$187.00	$187.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $97.26 / $102.13 / $136.72	Facility		$97.26	$102.13	$136.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $124.36 / $188.87 / $241.71	Professional		$124.36	$188.87	$241.71
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 $117.05 / $176.94 / $265.17	Professional		$117.05	$176.94	$265.17