Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $177.83 / $186.21	Facility		$87.10	$177.83	$186.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $109.65 / $181.97	Professional		$87.10	$109.65	$181.97
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $81.28 / $109.65	Professional		$81.28	$81.28	$109.65
BCBS Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $141.25 / $141.25	Facility		$134.90	$141.25	$141.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $158.49 / $158.49	Professional		$158.49	$158.49	$158.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $144.54 / $177.83	Facility		$144.54	$144.54	$177.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $158.49 / $208.93	Professional		$91.20	$158.49	$208.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
United Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $120.23 / $218.78	Professional		$91.20	$120.23	$218.78