Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $89.16 / $89.16 / $95.00	Facility		$89.16	$89.16	$95.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.16 / $92.03 / $95.74	Professional		$89.16	$92.03	$95.74
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $85.30 / $85.30 / $87.09	Professional		$85.30	$85.30	$87.09
BCBS Facility/Professional Facility Modifier Low / Median / High Price $15.00 / $15.00 / $15.00	Facility		$15.00	$15.00	$15.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.00 / $15.00 / $15.00	Professional		$15.00	$15.00	$15.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $86.90 / $86.90 / $86.90	Professional		$86.90	$86.90	$86.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $115.83 / $115.83	Professional		$30.00	$115.83	$115.83
United Facility/Professional Professional Modifier Low / Median / High Price $76.50 / $92.03 / $122.40	Professional		$76.50	$92.03	$122.40