Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $84.95 / $84.95 / $84.95	Facility		$84.95	$84.95	$84.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $84.95 / $84.95 / $125.20	Professional		$84.95	$84.95	$125.20
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $36.00 / $36.00 / $36.00	Professional		$36.00	$36.00	$36.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $71.40 / $71.40 / $78.54	Facility		$71.40	$71.40	$78.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $68.00 / $68.00 / $68.00	Professional		$68.00	$68.00	$68.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $227.00 / $227.00 / $261.05	Professional		$227.00	$227.00	$261.05
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 Facility Modifier Low / Median / High Price $233.00 / $233.00 / $233.00	Facility		$233.00	$233.00	$233.00
United Facility/Professional Professional Modifier Low / Median / High Price $150.00 / $208.95 / $208.95	Professional		$150.00	$208.95	$208.95