Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $91.34 / $109.23 / $8,863.78	Facility		$91.34	$109.23	$8,863.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.34 / $92.25 / $110.32	Professional		$91.34	$92.25	$110.32
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $91.02 / $91.02 / $91.02	Professional		$91.02	$91.02	$91.02
BCBS Facility/Professional Facility Modifier Low / Median / High Price $77.58 / $77.58 / $79.55	Facility		$77.58	$77.58	$79.55
BCBS Facility/Professional Professional Modifier Low / Median / High Price $77.40 / $77.40 / $77.58	Professional		$77.40	$77.40	$77.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $88.22 / $91.34 / $91.34	Facility		$88.22	$91.34	$91.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.34 / $91.34 / $91.34	Professional		$91.34	$91.34	$91.34
Molina Facility/Professional Professional Modifier Low / Median / High Price $83.94 / $89.39 / $118.89	Professional		$83.94	$89.39	$118.89
United Facility/Professional Professional Modifier Low / Median / High Price $88.60 / $91.34 / $116.92	Professional		$88.60	$91.34	$116.92