Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.52 / $39.52 / $40.77	Facility		$39.52	$39.52	$40.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.17 / $33.08 / $40.77	Professional		$15.17	$33.08	$40.77
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $102.20 / $102.20 / $102.20	Professional		$102.20	$102.20	$102.20
BCBS Facility/Professional Facility Modifier Low / Median / High Price $60.32 / $62.64 / $62.64	Facility		$60.32	$62.64	$62.64
BCBS Facility/Professional Professional Modifier Low / Median / High Price $109.00 / $109.00 / $109.00	Professional		$109.00	$109.00	$109.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.38 / $19.38 / $42.85	Professional		$19.38	$19.38	$42.85
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00
United Facility/Professional Professional Modifier Low / Median / High Price $13.43 / $21.55 / $38.56	Professional		$13.43	$21.55	$38.56