Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $1,819.70 / $2,818.38	Facility		$316.23	$1,819.70	$2,818.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $380.19 / $758.58	Professional		$309.03	$380.19	$758.58
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $416.87 / $416.87	Professional		$416.87	$416.87	$416.87
BCBS Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $151.36 / $151.36	Facility		$151.36	$151.36	$151.36
BCBS Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $416.87 / $416.87	Professional		$144.54	$416.87	$416.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $147.91 / $389.05	Facility		$131.83	$147.91	$389.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $562.34 / $758.58	Professional		$371.54	$562.34	$758.58
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 $223.87 / $549.54 / $1,479.11	Facility		$223.87	$549.54	$1,479.11
United Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $398.11 / $812.83	Professional		$302.00	$398.11	$812.83