Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $125.89 / $169.82	Facility		$109.65	$125.89	$169.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $104.71 / $141.25	Professional		$104.71	$104.71	$141.25
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $109.65 / $109.65	Professional		$109.65	$109.65	$109.65
BCBS Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $93.33 / $93.33	Facility		$93.33	$93.33	$93.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $104.71 / $104.71	Facility		$104.71	$104.71	$104.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $104.71 / $104.71	Professional		$104.71	$104.71	$104.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $151.36	Professional		$30.20	$30.20	$151.36
United Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $151.36 / $158.49	Facility		$104.71	$151.36	$158.49
United Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $104.71 / $158.49	Professional		$95.50	$104.71	$158.49