Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $58.35 / $66.68 / $9,548.15	Facility		$58.35	$66.68	$9,548.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.57 / $56.11 / $66.68	Professional		$55.57	$56.11	$66.68
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $55.57 / $55.57 / $55.57	Professional		$55.57	$55.57	$55.57
BCBS Facility/Professional Facility Modifier Low / Median / High Price $40.40 / $40.40 / $44.44	Facility		$40.40	$40.40	$44.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $54.18 / $54.18 / $54.18	Professional		$54.18	$54.18	$54.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $51.39 / $55.57 / $55.57	Facility		$51.39	$55.57	$55.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $55.57 / $55.57 / $55.57	Professional		$55.57	$55.57	$55.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $48.80 / $52.99 / $70.48	Professional		$48.80	$52.99	$70.48
United Facility/Professional Professional Modifier Low / Median / High Price $51.12 / $55.57 / $71.13	Professional		$51.12	$55.57	$71.13