Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $97.72 / $169.82	Facility		$57.54	$97.72	$169.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $53.70 / $93.33	Professional		$39.81	$53.70	$93.33
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $40.74 / $45.71	Professional		$40.74	$40.74	$45.71
BCBS Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $61.66 / $61.66	Facility		$61.66	$61.66	$61.66
BCBS Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $61.66 / $61.66	Professional		$61.66	$61.66	$61.66
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 $38.90 / $57.54 / $83.18	Professional		$38.90	$57.54	$83.18
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 $60.26 / $67.61 / $74.13	Facility		$60.26	$67.61	$74.13
United Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $51.29 / $77.62	Professional		$42.66	$51.29	$77.62