Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $1,288.25 / $2,818.38	Facility		$117.49	$1,288.25	$2,818.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $128.82 / $257.04	Professional		$83.18	$128.82	$257.04
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $128.82 / $158.49	Professional		$63.10	$128.82	$158.49
BCBS Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $131.83 / $131.83	Facility		$131.83	$131.83	$131.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $208.93 / $208.93	Professional		$208.93	$208.93	$208.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $104.71 / $660.69	Facility		$104.71	$104.71	$660.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $144.54 / $239.88	Professional		$87.10	$144.54	$239.88
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 / $977.24 / $1,862.09	Facility		$489.78	$977.24	$1,862.09
United Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $125.89 / $208.93	Professional		$93.33	$125.89	$208.93