Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $1,288.25 / $1,995.26	Facility		$218.78	$1,288.25	$1,995.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $218.78 / $363.08	Professional		$147.91	$218.78	$363.08
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $147.91 / $169.82	Professional		$147.91	$147.91	$169.82
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $1,288.25 / $1,288.25	Facility		$1,288.25	$1,288.25	$1,288.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $263.03 / $263.03	Professional		$263.03	$263.03	$263.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $1,230.27 / $2,818.38	Facility		$1,230.27	$1,230.27	$2,818.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $263.03 / $467.74	Professional		$162.18	$263.03	$467.74
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 $724.44 / $2,691.53 / $6,165.95	Facility		$724.44	$2,691.53	$6,165.95
United Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $229.09 / $371.54	Professional		$162.18	$229.09	$371.54