Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $164.25 / $164.25 / $300.07	Facility		$164.25	$164.25	$300.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $157.46 / $164.25 / $262.77	Professional		$157.46	$164.25	$262.77
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $122.63 / $122.63 / $122.63	Professional		$122.63	$122.63	$122.63
BCBS Facility/Professional Professional Modifier Low / Median / High Price $156.72 / $156.72 / $156.72	Professional		$156.72	$156.72	$156.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $156.72 / $156.72 / $156.72	Professional		$156.72	$156.72	$156.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $38.25 / $45.00 / $80.00	Professional		$38.25	$45.00	$80.00
United Facility/Professional Professional Modifier Low / Median / High Price $143.15 / $205.26 / $367.22	Professional		$143.15	$205.26	$367.22