Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $1,288.25 / $1,995.26	Facility		$194.98	$1,288.25	$1,995.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $190.55 / $331.13	Professional		$125.89	$190.55	$331.13
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $234.42 / $234.42	Professional		$234.42	$234.42	$234.42
BCBS Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $190.55 / $190.55	Facility		$190.55	$190.55	$190.55
BCBS Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $363.08 / $363.08	Professional		$363.08	$363.08	$363.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $147.91 / $489.78	Facility		$147.91	$147.91	$489.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $234.42 / $426.58	Professional		$125.89	$234.42	$426.58
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 $147.91 / $213.80 / $338.84	Professional		$147.91	$213.80	$338.84