Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $83.18 / $93.33	Facility		$83.18	$83.18	$93.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $100.00 / $165.96	Professional		$79.43	$100.00	$165.96
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $100.00 / $162.18	Professional		$89.13	$100.00	$162.18
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 $109.65 / $109.65 / $123.03	Professional		$109.65	$109.65	$123.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $114.82 / $181.97	Professional		$85.11	$114.82	$181.97
Molina Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $25.12 / $58.88	Professional		$19.95	$25.12	$58.88
United Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $107.15 / $147.91	Professional		$85.11	$107.15	$147.91