Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.00 / $20.00 / $20.00	Facility		$20.00	$20.00	$20.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.00 / $20.00 / $60.00	Professional		$20.00	$20.00	$60.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $120.00 / $120.00 / $120.00	Professional		$120.00	$120.00	$120.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $77.70 / $77.70 / $85.47	Facility		$77.70	$77.70	$85.47
BCBS Facility/Professional Professional Modifier Low / Median / High Price $74.00 / $74.00 / $74.00	Professional		$74.00	$74.00	$74.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $165.00 / $165.00 / $189.75	Professional		$165.00	$165.00	$189.75
Molina Facility/Professional Professional Modifier Low / Median / High Price $17.00 / $25.00 / $50.00	Professional		$17.00	$25.00	$50.00
United Facility/Professional Professional Modifier Low / Median / High Price $109.00 / $152.25 / $152.25	Professional		$109.00	$152.25	$152.25