Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.83 / $69.41 / $148.84	Facility		$42.83	$69.41	$148.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.60 / $79.23 / $166.00	Professional		$51.60	$79.23	$166.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $70.23 / $101.32 / $180.93	Professional		$70.23	$101.32	$180.93
BCBS Facility/Professional Facility Modifier Low / Median / High Price $62.87 / $62.87 / $62.87	Facility		$62.87	$62.87	$62.87
BCBS Facility/Professional Professional Modifier Low / Median / High Price $162.00 / $162.00 / $162.00	Professional		$162.00	$162.00	$162.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $46.93 / $52.53 / $388.28	Facility		$46.93	$52.53	$388.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.70 / $101.94 / $163.44	Professional		$69.70	$101.94	$163.44
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 / $513.00 / $1,739.00	Facility		$225.00	$513.00	$1,739.00
United Facility/Professional Professional Modifier Low / Median / High Price $69.33 / $90.24 / $194.48	Professional		$69.33	$90.24	$194.48