Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $81.84 / $101.15 / $133.52	Facility		$81.84	$101.15	$133.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $78.84 / $110.12 / $164.90	Professional		$78.84	$110.12	$164.90
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $107.50 / $145.40 / $245.00	Professional		$107.50	$145.40	$245.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $92.46 / $92.46 / $92.46	Facility		$92.46	$92.46	$92.46
BCBS Facility/Professional Professional Modifier Low / Median / High Price $123.66 / $133.74 / $133.74	Professional		$123.66	$133.74	$133.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.50 / $121.95 / $170.80	Professional		$87.50	$121.95	$170.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $25.00 / $77.40 / $105.25	Professional		$25.00	$77.40	$105.25
United Facility/Professional Professional Modifier Low / Median / High Price $107.20 / $125.68 / $170.14	Professional		$107.20	$125.68	$170.14