Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $1,258.93 / $1,995.26	Facility		$125.89	$1,258.93	$1,995.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $138.04 / $331.13	Professional		$69.18	$138.04	$331.13
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $109.65 / $158.49	Professional		$58.88	$109.65	$158.49
BCBS Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $102.33 / $102.33	Facility		$102.33	$102.33	$102.33
BCBS Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $263.03 / $263.03	Professional		$263.03	$263.03	$263.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $91.20 / $263.03	Facility		$91.20	$91.20	$263.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $112.20 / $213.80	Professional		$72.44	$112.20	$213.80
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 $263.03 / $549.54 / $1,621.81	Facility		$263.03	$549.54	$1,621.81
United Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $120.23 / $251.19	Professional		$64.57	$120.23	$251.19