Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $954.99 / $1,995.26	Facility		$147.91	$954.99	$1,995.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $151.36 / $316.23	Professional		$97.72	$151.36	$316.23
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $125.89 / $125.89	Professional		$125.89	$125.89	$125.89
BCBS Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $147.91 / $147.91	Facility		$147.91	$147.91	$147.91
BCBS Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $251.19 / $251.19	Professional		$251.19	$251.19	$251.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $109.65 / $257.04	Facility		$109.65	$109.65	$257.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $181.97 / $331.13	Professional		$97.72	$181.97	$331.13
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 $112.20 / $165.96 / $257.04	Professional		$112.20	$165.96	$257.04