Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $954.99 / $1,995.26	Facility		$77.62	$954.99	$1,995.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $77.62 / $169.82	Professional		$46.77	$77.62	$169.82
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $104.71 / $125.89	Professional		$64.57	$104.71	$125.89
BCBS Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $602.56 / $602.56	Facility		$602.56	$602.56	$602.56
BCBS Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $275.42 / $275.42	Professional		$275.42	$275.42	$275.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $229.09 / $229.09	Facility		$229.09	$229.09	$229.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $100.00 / $186.21	Professional		$45.71	$100.00	$186.21
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 $53.70 / $91.20 / $154.88	Professional		$53.70	$91.20	$154.88