Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $954.99 / $1,995.26	Facility		$123.03	$954.99	$1,995.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $138.04 / $263.03	Professional		$109.65	$138.04	$263.03
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $151.36 / $199.53	Professional		$141.25	$151.36	$199.53
BCBS Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $128.82 / $128.82	Facility		$128.82	$128.82	$128.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $323.59 / $323.59	Professional		$123.03	$323.59	$323.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $114.82 / $295.12	Facility		$104.71	$114.82	$295.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $204.17 / $281.84	Professional		$141.25	$204.17	$281.84
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 $109.65 / $147.91 / $288.40	Professional		$109.65	$147.91	$288.40