Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $181.97 / $218.78	Facility		$154.88	$181.97	$218.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $190.55 / $269.15	Professional		$141.25	$190.55	$269.15
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $204.17 / $234.42	Professional		$169.82	$204.17	$234.42
BCBS Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $93.33 / $93.33	Facility		$93.33	$93.33	$93.33
BCBS Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $199.53 / $223.87	Professional		$199.53	$199.53	$223.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $223.87 / $338.84	Professional		$173.78	$223.87	$338.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $42.66 / $169.82	Professional		$21.38	$42.66	$169.82
United Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $208.93 / $295.12	Professional		$162.18	$208.93	$295.12