Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $188.40 / $699.60 / $4,913.58	Facility		$188.40	$699.60	$4,913.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $119.91 / $194.72 / $329.52	Professional		$119.91	$194.72	$329.52
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $134.50 / $201.71 / $216.61	Professional		$134.50	$201.71	$216.61
BCBS Facility/Professional Facility Modifier Low / Median / High Price $326.48 / $326.48 / $326.48	Facility		$326.48	$326.48	$326.48
BCBS Facility/Professional Professional Modifier Low / Median / High Price $337.00 / $337.00 / $337.00	Professional		$337.00	$337.00	$337.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $339.62 / $339.62 / $492.36	Facility		$339.62	$339.62	$492.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $137.62 / $239.04 / $411.27	Professional		$137.62	$239.04	$411.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $32.34	Professional		$32.34	$32.34	$32.34
United Facility/Professional Facility Modifier Low / Median / High Price $225.00 / $579.00 / $1,888.00	Facility		$225.00	$579.00	$1,888.00
United Facility/Professional Professional Modifier Low / Median / High Price $196.50 / $249.16 / $488.55	Professional		$196.50	$249.16	$488.55