Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $258.63 / $310.22 / $310.37	Facility		$258.63	$310.22	$310.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $258.63 / $261.23 / $310.37	Professional		$258.63	$261.23	$310.37
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $248.93 / $248.93 / $248.93	Professional		$248.93	$248.93	$248.93
BCBS Facility/Professional Facility Modifier Low / Median / High Price $121.50 / $121.50 / $133.65	Facility		$121.50	$121.50	$133.65
BCBS Facility/Professional Professional Modifier Low / Median / High Price $100.61 / $100.61 / $168.90	Professional		$100.61	$100.61	$168.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $248.93 / $258.64 / $258.64	Facility		$248.93	$258.64	$258.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $258.64 / $258.64 / $258.64	Professional		$258.64	$258.64	$258.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $230.74 / $248.93 / $331.08	Professional		$230.74	$248.93	$331.08
United Facility/Professional Professional Modifier Low / Median / High Price $245.71 / $258.64 / $331.06	Professional		$245.71	$258.64	$331.06