Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $954.99 / $1,995.26	Facility		$120.23	$954.99	$1,995.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $120.23 / $204.17	Professional		$69.18	$120.23	$204.17
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $169.82 / $323.59	Professional		$87.10	$169.82	$323.59
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 $177.83 / $177.83 / $177.83	Professional		$177.83	$177.83	$177.83
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 $72.44 / $131.83 / $263.03	Professional		$72.44	$131.83	$263.03
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 $81.28 / $128.82 / $199.53	Professional		$81.28	$128.82	$199.53