Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $156.53 / $180.12 / $219.13	Facility		$156.53	$180.12	$219.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $157.50 / $197.76 / $255.30	Professional		$157.50	$197.76	$255.30
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $237.69 / $237.69 / $269.20	Professional		$237.69	$237.69	$269.20
BCBS Facility/Professional Facility Modifier Low / Median / High Price $94.26 / $94.26 / $94.26	Facility		$94.26	$94.26	$94.26
BCBS Facility/Professional Professional Modifier Low / Median / High Price $198.00 / $210.06 / $210.06	Professional		$198.00	$210.06	$210.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $173.24 / $223.39 / $309.52	Professional		$173.24	$223.39	$309.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $25.00 / $148.32 / $173.47	Professional		$25.00	$148.32	$173.47
United Facility/Professional Professional Modifier Low / Median / High Price $188.51 / $218.40 / $298.86	Professional		$188.51	$218.40	$298.86