Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $87.09 / $169.17 / $183.22	Facility		$87.09	$169.17	$183.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.09 / $113.65 / $176.17	Professional		$87.09	$113.65	$176.17
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $95.00 / $95.00 / $95.00	Professional		$95.00	$95.00	$95.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $131.44 / $136.51 / $136.51	Facility		$131.44	$136.51	$136.51
BCBS Facility/Professional Professional Modifier Low / Median / High Price $138.00 / $138.00 / $138.00	Professional		$138.00	$138.00	$138.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $128.27 / $128.27 / $159.47	Facility		$128.27	$128.27	$159.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $90.49 / $147.41 / $189.64	Professional		$90.49	$147.41	$189.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $32.34	Professional		$32.34	$32.34	$32.34
United Facility/Professional Professional Modifier Low / Median / High Price $87.19 / $116.62 / $216.78	Professional		$87.19	$116.62	$216.78