Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $776.25 / $1,995.26	Facility		$83.18	$776.25	$1,995.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $89.13 / $158.49	Professional		$33.88	$89.13	$158.49
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $85.11 / $141.25	Professional		$67.61	$85.11	$141.25
BCBS Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $616.60 / $616.60	Facility		$436.52	$616.60	$616.60
BCBS Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $128.82 / $128.82	Professional		$128.82	$128.82	$128.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $74.13 / $74.13	Facility		$74.13	$74.13	$74.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $77.62 / $173.78	Professional		$30.90	$77.62	$173.78
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 $37.15 / $89.13 / $151.36	Professional		$37.15	$89.13	$151.36