Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $954.99 / $2,818.38	Facility		$104.71	$954.99	$2,818.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $112.20 / $213.80	Professional		$51.29	$112.20	$213.80
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $93.33 / $125.89	Professional		$42.66	$93.33	$125.89
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 $128.82 / $128.82 / $128.82	Professional		$128.82	$128.82	$128.82
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 $44.67 / $91.20 / $177.83	Professional		$44.67	$91.20	$177.83
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 $51.29 / $95.50 / $141.25	Professional		$51.29	$95.50	$141.25