Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $87.10 / $109.65	Facility		$47.86	$87.10	$109.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $58.88 / $104.71	Professional		$43.65	$58.88	$104.71
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $72.44 / $128.82	Professional		$52.48	$72.44	$128.82
BCBS Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $95.50 / $104.71	Facility		$95.50	$95.50	$104.71
BCBS Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $52.48 / $52.48	Professional		$52.48	$52.48	$52.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $64.57 / $79.43	Facility		$50.12	$64.57	$79.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $56.23 / $93.33	Professional		$37.15	$56.23	$93.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $33.11	Professional		$32.36	$33.11	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $158.49 / $173.78	Facility		$63.10	$158.49	$173.78
United Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $51.29 / $70.79	Professional		$30.90	$51.29	$70.79