Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $150.58 / $150.58 / $150.58	Facility		$150.58	$150.58	$150.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $150.58 / $167.05 / $193.51	Professional		$150.58	$167.05	$193.51
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $153.75 / $153.75 / $153.75	Professional		$153.75	$153.75	$153.75
BCBS Facility/Professional Professional Modifier Low / Median / High Price $112.00 / $112.00 / $112.00	Professional		$112.00	$112.00	$112.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.05 / $45.05 / $45.05	Professional		$45.05	$45.05	$45.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $172.20 / $178.22 / $1,000.00	Professional		$172.20	$178.22	$1,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $161.71 / $161.71 / $161.71	Professional		$161.71	$161.71	$161.71