Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $933.25 / $1,995.26	Facility		$79.43	$933.25	$1,995.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $218.78 / $398.11	Professional		$87.10	$218.78	$398.11
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $89.13 / $181.97	Professional		$89.13	$89.13	$181.97
BCBS Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $416.87 / $416.87	Facility		$416.87	$416.87	$416.87
BCBS Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $208.93 / $208.93	Professional		$208.93	$208.93	$208.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $346.74 / $851.14	Facility		$346.74	$346.74	$851.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $204.17 / $851.14	Professional		$117.49	$204.17	$851.14
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 $478.63 / $1,000.00 / $1,949.84	Facility		$478.63	$1,000.00	$1,949.84
United Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $218.78 / $794.33	Professional		$87.10	$218.78	$794.33