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 $30.90 / $38.90 / $87.10	Professional		$30.90	$38.90	$87.10
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $38.90 / $77.62	Professional		$30.90	$38.90	$77.62
BCBS Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $134.90 / $134.90	Facility		$134.90	$134.90	$134.90
BCBS Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $128.82 / $128.82	Professional		$128.82	$128.82	$128.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $128.82 / $223.87	Facility		$128.82	$128.82	$223.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $50.12 / $79.43	Professional		$33.11	$50.12	$79.43
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 $295.12 / $562.34 / $1,621.81	Facility		$295.12	$562.34	$1,621.81
United Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $40.74 / $93.33	Professional		$33.11	$40.74	$93.33