Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $79.43 / $104.71	Facility		$79.43	$79.43	$104.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $128.82 / $263.03	Professional		$83.18	$128.82	$263.03
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $120.23 / $158.49	Professional		$95.50	$120.23	$158.49
BCBS Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $91.20 / $91.20	Facility		$91.20	$91.20	$91.20
BCBS Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $112.20 / $125.89	Professional		$112.20	$112.20	$125.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $120.23 / $186.21	Professional		$87.10	$120.23	$186.21
Molina Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $44.67 / $128.82	Professional		$21.38	$44.67	$128.82
United Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $109.65 / $154.88	Professional		$79.43	$109.65	$154.88