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 $40.74 / $50.12 / $128.82	Professional		$40.74	$50.12	$128.82
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $42.66 / $85.11	Professional		$23.99	$42.66	$85.11
BCBS Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $123.03 / $123.03	Professional		$123.03	$123.03	$123.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $75.86 / $109.65	Professional		$50.12	$75.86	$109.65
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 $338.84 / $588.84 / $1,659.59	Facility		$338.84	$588.84	$1,659.59
United Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $61.66 / $123.03	Professional		$43.65	$61.66	$123.03