Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $152.05 / $154.15 / $255.95	Facility		$152.05	$154.15	$255.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $126.51 / $144.78 / $255.95	Professional		$126.51	$144.78	$255.95
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $157.29 / $302.02 / $302.02	Professional		$157.29	$302.02	$302.02
BCBS Facility/Professional Facility Modifier Low / Median / High Price $154.00 / $154.00 / $154.00	Facility		$154.00	$154.00	$154.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $154.00 / $154.00 / $154.00	Professional		$154.00	$154.00	$154.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $124.60 / $182.52 / $245.20	Professional		$124.60	$182.52	$245.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $110.47	Professional		$32.34	$32.34	$110.47
United Facility/Professional Professional Modifier Low / Median / High Price $125.55 / $156.32 / $255.60	Professional		$125.55	$156.32	$255.60