Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $147.34 / $179.47 / $220.55	Facility		$147.34	$179.47	$220.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $126.31 / $160.40 / $205.21	Professional		$126.31	$160.40	$205.21
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $197.20 / $210.25 / $217.50	Professional		$197.20	$210.25	$217.50
BCBS Facility/Professional Facility Modifier Low / Median / High Price $93.64 / $93.64 / $93.64	Facility		$93.64	$93.64	$93.64
BCBS Facility/Professional Professional Modifier Low / Median / High Price $149.99 / $160.18 / $160.18	Professional		$149.99	$160.18	$160.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $132.76 / $175.83 / $251.43	Professional		$132.76	$175.83	$251.43
Molina Facility/Professional Professional Modifier Low / Median / High Price $25.00 / $110.16 / $132.11	Professional		$25.00	$110.16	$132.11
United Facility/Professional Professional Modifier Low / Median / High Price $155.16 / $184.39 / $249.84	Professional		$155.16	$184.39	$249.84