Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $49.17 / $122.24 / $205.77	Facility		$49.17	$122.24	$205.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $76.76 / $126.79 / $205.77	Professional		$76.76	$126.79	$205.77
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $241.70 / $241.70 / $241.70	Professional		$241.70	$241.70	$241.70
BCBS Facility/Professional Facility Modifier Low / Median / High Price $87.42 / $87.42 / $87.42	Facility		$87.42	$87.42	$87.42
BCBS Facility/Professional Professional Modifier Low / Median / High Price $152.00 / $152.00 / $152.00	Professional		$152.00	$152.00	$152.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $47.33 / $47.33 / $91.07	Facility		$47.33	$47.33	$91.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.37 / $101.23 / $154.88	Professional		$69.37	$101.23	$154.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $32.34	Professional		$32.34	$32.34	$32.34
United Facility/Professional Facility Modifier Low / Median / High Price $74.59 / $106.58 / $155.87	Facility		$74.59	$106.58	$155.87
United Facility/Professional Professional Modifier Low / Median / High Price $55.29 / $91.14 / $164.98	Professional		$55.29	$91.14	$164.98