Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $123.03 / $389.05	Facility		$83.18	$123.03	$389.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $85.11 / $165.96	Professional		$81.28	$85.11	$165.96
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $114.82 / $354.81	Professional		$104.71	$114.82	$354.81
BCBS Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $181.97 / $181.97	Professional		$181.97	$181.97	$181.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $87.10 / $87.10	Facility		$87.10	$87.10	$87.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $87.10 / $102.33	Professional		$87.10	$87.10	$102.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $42.66 / $50.12	Professional		$42.66	$42.66	$50.12
United Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $85.11 / $131.83	Professional		$81.28	$85.11	$131.83