Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $107.15 / $107.15	Facility		$20.89	$107.15	$107.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $23.99 / $77.62	Professional		$16.98	$23.99	$77.62
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $19.50 / $42.66	Professional		$13.80	$19.50	$42.66
BCBS Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $194.98 / $194.98	Facility		$194.98	$194.98	$194.98
BCBS Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $69.18 / $69.18	Professional		$69.18	$69.18	$69.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $95.50 / $165.96	Facility		$29.51	$95.50	$165.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $31.62 / $97.72	Professional		$18.20	$31.62	$97.72
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 $151.36 / $239.88 / $346.74	Facility		$151.36	$239.88	$346.74
United Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $27.54 / $69.18	Professional		$17.78	$27.54	$69.18