Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $933.25 / $1,995.26	Facility		$120.23	$933.25	$1,995.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $134.90 / $457.09	Professional		$89.13	$134.90	$457.09
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $141.25 / $218.78	Professional		$117.49	$141.25	$218.78
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 $380.19 / $380.19 / $380.19	Professional		$380.19	$380.19	$380.19
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 $104.71 / $213.80 / $380.19	Professional		$104.71	$213.80	$380.19
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 $102.33 / $177.83 / $331.13	Professional		$102.33	$177.83	$331.13