Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $144.54 / $194.98	Facility		$125.89	$144.54	$194.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $151.36 / $199.53	Professional		$109.65	$151.36	$199.53
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $154.88 / $177.83	Professional		$131.83	$154.88	$177.83
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 $138.04 / $138.04 / $154.88	Professional		$138.04	$138.04	$154.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $181.97 / $239.88	Professional		$131.83	$181.97	$239.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $25.12 / $190.55	Professional		$21.38	$25.12	$190.55
United Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $162.18 / $223.87	Professional		$138.04	$162.18	$223.87