Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $1,258.93 / $2,818.38	Facility		$190.55	$1,258.93	$2,818.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $275.42 / $501.19	Professional		$190.55	$275.42	$501.19
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $194.98 / $398.11	Professional		$107.15	$194.98	$398.11
BCBS Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $741.31 / $741.31	Facility		$741.31	$741.31	$741.31
BCBS Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $512.86 / $512.86	Professional		$512.86	$512.86	$512.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $724.44 / $1,445.44	Facility		$724.44	$724.44	$1,445.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $346.74 / $575.44	Professional		$186.21	$346.74	$575.44
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 $489.78 / $1,071.52 / $3,311.31	Facility		$489.78	$1,071.52	$3,311.31
United Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $302.00 / $537.03	Professional		$213.80	$302.00	$537.03