Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $104.28 / $130.57 / $279.98	Facility		$104.28	$130.57	$279.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $101.06 / $133.24 / $279.98	Professional		$101.06	$133.24	$279.98
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $273.72 / $273.72 / $273.72	Professional		$273.72	$273.72	$273.72
BCBS Facility/Professional Facility Modifier Low / Median / High Price $84.92 / $84.92 / $84.92	Facility		$84.92	$84.92	$84.92
BCBS Facility/Professional Professional Modifier Low / Median / High Price $285.00 / $285.00 / $285.00	Professional		$285.00	$285.00	$285.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $63.37 / $70.94 / $388.28	Facility		$63.37	$70.94	$388.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $135.47 / $195.95 / $289.72	Professional		$135.47	$195.95	$289.72
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 / $567.00 / $1,888.00	Facility		$225.00	$567.00	$1,888.00
United Facility/Professional Professional Modifier Low / Median / High Price $121.73 / $162.30 / $342.55	Professional		$121.73	$162.30	$342.55