Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $107.15 / $134.90	Facility		$107.15	$107.15	$134.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $144.54 / $257.04	Professional		$102.33	$144.54	$257.04
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $162.18 / $194.98	Professional		$134.90	$162.18	$194.98
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 $147.91 / $147.91 / $169.82	Professional		$147.91	$147.91	$169.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $158.49 / $239.88	Professional		$117.49	$158.49	$239.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $42.66 / $117.49	Professional		$21.38	$42.66	$117.49
United Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $144.54 / $204.17	Professional		$107.15	$144.54	$204.17