Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $99.24 / $122.65 / $155.02	Facility		$99.24	$122.65	$155.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $96.79 / $130.46 / $186.00	Professional		$96.79	$130.46	$186.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $114.32 / $168.11 / $297.00	Professional		$114.32	$168.11	$297.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $92.48 / $92.48 / $92.48	Facility		$92.48	$92.48	$92.48
BCBS Facility/Professional Professional Modifier Low / Median / High Price $143.63 / $155.32 / $155.32	Professional		$143.63	$155.32	$155.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $105.60 / $141.54 / $197.24	Professional		$105.60	$141.54	$197.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $25.00 / $93.76 / $121.80	Professional		$25.00	$93.76	$121.80
United Facility/Professional Professional Modifier Low / Median / High Price $122.41 / $144.10 / $197.58	Professional		$122.41	$144.10	$197.58