Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $92.70 / $105.06 / $125.00	Facility		$92.70	$105.06	$125.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.43 / $92.70 / $123.60	Professional		$72.43	$92.70	$123.60
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $67.22 / $68.47 / $90.18	Professional		$67.22	$68.47	$90.18
BCBS Facility/Professional Professional Modifier Low / Median / High Price $122.00 / $122.00 / $122.00	Professional		$122.00	$122.00	$122.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $62.00 / $91.96 / $129.26	Professional		$62.00	$91.96	$129.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $84.34	Professional		$32.34	$32.34	$84.34
United Facility/Professional Professional Modifier Low / Median / High Price $83.80 / $100.05 / $169.08	Professional		$83.80	$100.05	$169.08