Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $89.13 / $120.23	Facility		$77.62	$89.13	$120.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $74.13 / $165.96	Professional		$72.44	$74.13	$165.96
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $74.13 / $95.50	Professional		$72.44	$74.13	$95.50
BCBS Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $75.86 / $75.86	Facility		$75.86	$75.86	$75.86
BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $66.07 / $77.62	Professional		$66.07	$66.07	$77.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $74.13 / $74.13	Facility		$74.13	$74.13	$74.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $74.13 / $75.86	Professional		$74.13	$74.13	$75.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $72.44	Professional		$30.20	$30.20	$72.44
United Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $74.13 / $77.62	Facility		$72.44	$74.13	$77.62
United Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $74.13 / $93.33	Professional		$64.57	$74.13	$93.33