Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $125.89 / $169.82	Facility		$64.57	$125.89	$169.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $81.28 / $154.88	Professional		$57.54	$81.28	$154.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $85.11 / $85.11	Professional		$85.11	$85.11	$85.11
BCBS Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $89.13 / $89.13	Facility		$89.13	$89.13	$89.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $89.13 / $89.13	Professional		$89.13	$89.13	$89.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $70.79 / $85.11	Facility		$60.26	$70.79	$85.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $85.11 / $112.20	Professional		$56.23	$85.11	$112.20
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 $87.10 / $97.72 / $107.15	Facility		$87.10	$97.72	$107.15
United Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $75.86 / $114.82	Professional		$61.66	$75.86	$114.82