Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $78.93 / $115.88 / $154.50	Facility		$78.93	$115.88	$154.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $112.72 / $148.32	Professional		$83.18	$112.72	$148.32
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $126.80 / $126.80 / $126.80	Professional		$126.80	$126.80	$126.80
BCBS Facility/Professional Facility Modifier Low / Median / High Price $89.14 / $89.14 / $89.14	Facility		$89.14	$89.14	$89.14
BCBS Facility/Professional Professional Modifier Low / Median / High Price $99.57 / $111.70 / $111.70	Professional		$99.57	$111.70	$111.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.66 / $116.98 / $169.77	Professional		$85.66	$116.98	$169.77
Molina Facility/Professional Professional Modifier Low / Median / High Price $25.00 / $72.69 / $92.19	Professional		$25.00	$72.69	$92.19
United Facility/Professional Professional Modifier Low / Median / High Price $103.40 / $123.37 / $163.56	Professional		$103.40	$123.37	$163.56