Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $31.77 / $55.54 / $93.50	Facility		$31.77	$55.54	$93.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.75 / $50.03 / $87.48	Professional		$29.75	$50.03	$87.48
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $20.92 / $20.92 / $20.92	Professional		$20.92	$20.92	$20.92
BCBS Facility/Professional Facility Modifier Low / Median / High Price $569.88 / $569.88 / $569.88	Facility		$569.88	$569.88	$569.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $86.00 / $86.00 / $86.00	Professional		$86.00	$86.00	$86.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $254.12 / $254.12 / $254.12	Facility		$254.12	$254.12	$254.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.52 / $28.94 / $56.03	Professional		$16.52	$28.94	$56.03
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 Professional Modifier Low / Median / High Price $36.10 / $44.79 / $59.33	Professional		$36.10	$44.79	$59.33