Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $208.41 / $1,040.00 / $4,299.30	Facility		$208.41	$1,040.00	$4,299.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $122.07 / $183.71 / $340.00	Professional		$122.07	$183.71	$340.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $188.98 / $196.31 / $431.45	Professional		$188.98	$196.31	$431.45
BCBS Facility/Professional Facility Modifier Low / Median / High Price $162.33 / $162.33 / $162.33	Facility		$162.33	$162.33	$162.33
BCBS Facility/Professional Professional Modifier Low / Median / High Price $274.00 / $274.00 / $274.00	Professional		$274.00	$274.00	$274.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $128.83 / $128.83 / $1,437.37	Facility		$128.83	$128.83	$1,437.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $129.74 / $207.08 / $340.00	Professional		$129.74	$207.08	$340.00
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 $455.00 / $858.00 / $1,957.00	Facility		$455.00	$858.00	$1,957.00
United Facility/Professional Professional Modifier Low / Median / High Price $165.13 / $201.64 / $407.49	Professional		$165.13	$201.64	$407.49