Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.24 / $35.76 / $107.41	Facility		$21.24	$35.76	$107.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $23.92 / $63.53	Professional		$19.05	$23.92	$63.53
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $22.59 / $22.59 / $36.19	Professional		$22.59	$22.59	$36.19
BCBS Facility/Professional Facility Modifier Low / Median / High Price $182.57 / $182.57 / $182.57	Facility		$182.57	$182.57	$182.57
BCBS Facility/Professional Professional Modifier Low / Median / High Price $69.00 / $69.00 / $69.00	Professional		$69.00	$69.00	$69.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $29.55 / $95.88 / $165.14	Facility		$29.55	$95.88	$165.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.55 / $29.52 / $99.10	Professional		$17.55	$29.52	$99.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $15.33 / $32.34 / $32.34	Professional		$15.33	$32.34	$32.34
United Facility/Professional Facility Modifier Low / Median / High Price $161.91 / $257.32 / $381.64	Facility		$161.91	$257.32	$381.64
United Facility/Professional Professional Modifier Low / Median / High Price $18.05 / $32.08 / $69.68	Professional		$18.05	$32.08	$69.68