Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $85.29 / $105.40 / $138.09	Facility		$85.29	$105.40	$138.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.78 / $113.59 / $170.00	Professional		$81.78	$113.59	$170.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $120.28 / $148.00 / $174.41	Professional		$120.28	$148.00	$174.41
BCBS Facility/Professional Facility Modifier Low / Median / High Price $92.34 / $92.34 / $92.34	Facility		$92.34	$92.34	$92.34
BCBS Facility/Professional Professional Modifier Low / Median / High Price $125.48 / $135.88 / $135.88	Professional		$125.48	$135.88	$135.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.43 / $126.39 / $171.54	Professional		$95.43	$126.39	$171.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $25.00 / $80.00 / $108.61	Professional		$25.00	$80.00	$108.61
United Facility/Professional Professional Modifier Low / Median / High Price $111.74 / $129.88 / $176.65	Professional		$111.74	$129.88	$176.65