Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $1,819.70 / $2,818.38	Facility		$51.29	$1,819.70	$2,818.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $114.82 / $194.98	Professional		$51.29	$114.82	$194.98
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $123.03 / $154.88	Professional		$95.50	$123.03	$154.88
BCBS Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $295.12 / $295.12	Facility		$295.12	$295.12	$295.12
BCBS Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $151.36 / $151.36	Professional		$151.36	$151.36	$151.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $257.04 / $257.04	Facility		$257.04	$257.04	$257.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $109.65 / $213.80	Professional		$48.98	$109.65	$213.80
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 $269.15 / $549.54 / $1,621.81	Facility		$269.15	$549.54	$1,621.81
United Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $112.20 / $169.82	Professional		$58.88	$112.20	$169.82