Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $107.15 / $169.82	Facility		$87.10	$107.15	$169.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $89.13 / $144.54	Professional		$69.18	$89.13	$144.54
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $66.07 / $85.11	Professional		$57.54	$66.07	$85.11
BCBS Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $125.89 / $125.89	Professional		$125.89	$125.89	$125.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $97.72 / $125.89	Professional		$64.57	$97.72	$125.89
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 $436.52 / $436.52 / $436.52	Facility		$436.52	$436.52	$436.52
United Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $100.00 / $158.49	Professional		$75.86	$100.00	$158.49