Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $95.50 / $138.04	Facility		$72.44	$95.50	$138.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $85.11 / $162.18	Professional		$66.07	$85.11	$162.18
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $66.07 / $109.65	Professional		$63.10	$66.07	$109.65
BCBS Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $91.20 / $91.20	Facility		$87.10	$91.20	$91.20
BCBS Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $169.82 / $169.82	Professional		$169.82	$169.82	$169.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $70.79 / $89.13	Facility		$60.26	$70.79	$89.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $100.00 / $144.54	Professional		$67.61	$100.00	$144.54
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 Facility Modifier Low / Median / High Price $52.48 / $57.54 / $63.10	Facility		$52.48	$57.54	$63.10
United Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $79.43 / $141.25	Professional		$61.66	$79.43	$141.25