Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $79.00 / $94.15 / $94.80	Facility		$79.00	$94.15	$94.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.00 / $79.79 / $94.80	Professional		$79.00	$79.79	$94.80
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $78.45 / $78.45 / $78.45	Professional		$78.45	$78.45	$78.45
BCBS Facility/Professional Facility Modifier Low / Median / High Price $53.74 / $53.74 / $59.11	Facility		$53.74	$53.74	$59.11
BCBS Facility/Professional Professional Modifier Low / Median / High Price $63.48 / $63.48 / $139.32	Professional		$63.48	$63.48	$139.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $74.83 / $79.00 / $79.00	Facility		$74.83	$79.00	$79.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.00 / $79.00 / $81.98	Professional		$79.00	$79.00	$81.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $70.22 / $75.20 / $100.03	Professional		$70.22	$75.20	$100.03
United Facility/Professional Professional Modifier Low / Median / High Price $75.05 / $79.00 / $109.47	Professional		$75.05	$79.00	$109.47