Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $758.58 / $1,995.26	Facility		$104.71	$758.58	$1,995.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $120.23 / $302.00	Professional		$79.43	$120.23	$302.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $117.49 / $158.49	Professional		$79.43	$117.49	$158.49
BCBS Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $107.15 / $107.15	Facility		$107.15	$107.15	$107.15
BCBS Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $141.25 / $141.25	Professional		$141.25	$141.25	$141.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $83.18 / $281.84	Facility		$83.18	$83.18	$281.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $141.25 / $245.47	Professional		$89.13	$141.25	$245.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $630.96 / $1,621.81	Facility		$338.84	$630.96	$1,621.81
United Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $120.23 / $199.53	Professional		$89.13	$120.23	$199.53