Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $4,570.88 / $7,413.10	Facility		$75.86	$4,570.88	$7,413.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $75.86 / $89.13	Professional		$75.86	$75.86	$89.13
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $74.13 / $74.13	Professional		$74.13	$74.13	$74.13
BCBS Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $51.29 / $56.23	Facility		$51.29	$51.29	$56.23
BCBS Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $54.95 / $58.88	Professional		$54.95	$54.95	$58.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $75.86 / $75.86	Facility		$75.86	$75.86	$75.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $75.86 / $75.86	Professional		$75.86	$75.86	$75.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $74.13	Professional		$30.20	$30.20	$74.13
United Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $75.86 / $77.62	Facility		$74.13	$75.86	$77.62
United Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $75.86 / $97.72	Professional		$66.07	$75.86	$97.72