Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $954.99 / $1,995.26	Facility		$173.78	$954.99	$1,995.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $169.82 / $309.03	Professional		$112.20	$169.82	$309.03
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $218.78 / $331.13	Professional		$218.78	$218.78	$331.13
BCBS Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $288.40 / $288.40	Facility		$288.40	$288.40	$288.40
BCBS Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $489.78 / $489.78	Professional		$489.78	$489.78	$489.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $281.84 / $1,122.02	Facility		$281.84	$281.84	$1,122.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $181.97 / $288.40	Professional		$123.03	$181.97	$288.40
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 $363.08 / $630.96 / $1,479.11	Facility		$363.08	$630.96	$1,479.11
United Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $181.97 / $398.11	Professional		$109.65	$181.97	$398.11