Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $54.44 / $116.73 / $433.50	Facility		$54.44	$116.73	$433.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.01 / $82.40 / $167.93	Professional		$54.01	$82.40	$167.93
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $79.78 / $110.66 / $198.39	Professional		$79.78	$110.66	$198.39
BCBS Facility/Professional Facility Modifier Low / Median / High Price $71.79 / $71.79 / $71.79	Facility		$71.79	$71.79	$71.79
BCBS Facility/Professional Professional Modifier Low / Median / High Price $155.00 / $155.00 / $155.00	Professional		$155.00	$155.00	$155.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $54.40 / $60.90 / $388.28	Facility		$54.40	$60.90	$388.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.79 / $107.60 / $167.93	Professional		$71.79	$107.60	$167.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $32.34	Professional		$32.34	$32.34	$32.34
United Facility/Professional Facility Modifier Low / Median / High Price $225.00 / $491.00 / $1,650.00	Facility		$225.00	$491.00	$1,650.00
United Facility/Professional Professional Modifier Low / Median / High Price $74.55 / $99.40 / $188.97	Professional		$74.55	$99.40	$188.97