Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.35 / $68.37 / $281.48	Facility		$29.35	$68.37	$281.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.19 / $32.29 / $53.71	Professional		$23.19	$32.29	$53.71
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $14.68 / $14.68 / $20.55	Professional		$14.68	$14.68	$20.55
BCBS Facility/Professional Facility Modifier Low / Median / High Price $48.10 / $48.10 / $48.10	Facility		$48.10	$48.10	$48.10
BCBS Facility/Professional Professional Modifier Low / Median / High Price $48.10 / $48.10 / $48.10	Professional		$48.10	$48.10	$48.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.07 / $32.54 / $58.61	Facility		$19.07	$32.54	$58.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.17 / $23.04 / $42.33	Professional		$19.17	$23.04	$42.33
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 $12.33 / $17.61 / $55.66	Professional		$12.33	$17.61	$55.66