Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $54.95 / $79.43	Facility		$30.90	$54.95	$79.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $56.23 / $93.33	Professional		$25.12	$56.23	$93.33
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $29.51 / $75.86	Professional		$29.51	$29.51	$75.86
BCBS Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $77.62 / $93.33	Facility		$77.62	$77.62	$93.33
BCBS Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $77.62 / $77.62	Professional		$77.62	$77.62	$77.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $47.86 / $47.86	Facility		$47.86	$47.86	$47.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $70.79 / $123.03	Professional		$28.18	$70.79	$123.03
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 $109.65 / $117.49 / $173.78	Facility		$109.65	$117.49	$173.78
United Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $60.26 / $107.15	Professional		$23.99	$60.26	$107.15