Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $89.13 / $102.33	Facility		$75.86	$89.13	$102.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $102.33 / $154.88	Professional		$77.62	$102.33	$154.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $112.20 / $151.36	Professional		$91.20	$112.20	$151.36
BCBS Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $91.20 / $91.20	Facility		$91.20	$91.20	$91.20
BCBS Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $107.15 / $120.23	Professional		$107.15	$107.15	$120.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $114.82 / $186.21	Professional		$89.13	$114.82	$186.21
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 Professional Modifier Low / Median / High Price $87.10 / $100.00 / $138.04	Professional		$87.10	$100.00	$138.04