Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $1,047.13 / $1,995.26	Facility		$93.33	$1,047.13	$1,995.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $107.15 / $309.03	Professional		$64.57	$107.15	$309.03
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $104.71 / $162.18	Professional		$75.86	$104.71	$162.18
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 $234.42 / $234.42 / $234.42	Professional		$234.42	$234.42	$234.42
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 $74.13 / $144.54 / $269.15	Professional		$74.13	$144.54	$269.15
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 $75.86 / $123.03 / $218.78	Professional		$75.86	$123.03	$218.78