Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $954.99 / $1,995.26	Facility		$169.82	$954.99	$1,995.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $165.96 / $288.40	Professional		$107.15	$165.96	$288.40
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $398.11 / $398.11	Professional		$398.11	$398.11	$398.11
BCBS Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $169.82 / $169.82	Facility		$169.82	$169.82	$169.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $295.12 / $295.12	Professional		$295.12	$295.12	$295.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $134.90 / $257.04	Facility		$134.90	$134.90	$257.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $199.53 / $380.19	Professional		$107.15	$199.53	$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 $125.89 / $190.55 / $295.12	Professional		$125.89	$190.55	$295.12