Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $1,047.13 / $1,995.26	Facility		$416.87	$1,047.13	$1,995.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $128.82 / $275.42	Professional		$112.20	$128.82	$275.42
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 $141.25 / $141.25 / $141.25	Facility		$141.25	$141.25	$141.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $870.96 / $870.96	Professional		$134.90	$870.96	$870.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $134.90 / $147.91	Facility		$120.23	$134.90	$147.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $194.98 / $245.47	Professional		$134.90	$194.98	$245.47
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 / $537.03 / $1,621.81	Facility		$223.87	$537.03	$1,621.81
United Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $138.04 / $295.12	Professional		$107.15	$138.04	$295.12