Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $7,943.28 / $12,022.64	Facility		$87.10	$7,943.28	$12,022.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $87.10 / $102.33	Professional		$85.11	$87.10	$102.33
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $87.10 / $147.91	Professional		$87.10	$87.10	$147.91
BCBS Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $67.61 / $72.44	Facility		$67.61	$67.61	$72.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $75.86 / $75.86	Professional		$75.86	$75.86	$75.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $87.10 / $87.10	Facility		$87.10	$87.10	$87.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $87.10 / $87.10	Professional		$87.10	$87.10	$87.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $83.18	Professional		$30.20	$30.20	$83.18
United Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $87.10 / $89.13	Facility		$85.11	$87.10	$89.13
United Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $87.10 / $109.65	Professional		$75.86	$87.10	$109.65