Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $85.29 / $85.29 / $111.48	Facility		$85.29	$85.29	$111.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $78.84 / $111.48 / $155.69	Professional		$78.84	$111.48	$155.69
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $127.21 / $150.00 / $167.62	Professional		$127.21	$150.00	$167.62
BCBS Facility/Professional Facility Modifier Low / Median / High Price $92.35 / $92.35 / $92.35	Facility		$92.35	$92.35	$92.35
BCBS Facility/Professional Professional Modifier Low / Median / High Price $125.35 / $135.72 / $135.72	Professional		$125.35	$135.72	$135.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $90.30 / $124.22 / $171.54	Professional		$90.30	$124.22	$171.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $25.00 / $80.72 / $108.36	Professional		$25.00	$80.72	$108.36
United Facility/Professional Professional Modifier Low / Median / High Price $110.20 / $128.01 / $175.63	Professional		$110.20	$128.01	$175.63