Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $933.25 / $2,691.53	Facility		$323.59	$933.25	$2,691.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $269.15 / $512.86	Professional		$165.96	$269.15	$512.86
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $263.03 / $398.11	Professional		$123.03	$263.03	$398.11
BCBS Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $208.93 / $208.93	Facility		$208.93	$208.93	$208.93
BCBS Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $371.54 / $371.54	Professional		$371.54	$371.54	$371.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $208.93 / $380.19	Facility		$208.93	$208.93	$380.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $309.03 / $524.81	Professional		$190.55	$309.03	$524.81
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 $190.55 / $281.84 / $426.58	Professional		$190.55	$281.84	$426.58