Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $302.00 / $1,288.25	Facility		$158.49	$302.00	$1,288.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $70.79 / $128.82	Professional		$28.84	$70.79	$128.82
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $30.20 / $66.07	Professional		$17.38	$30.20	$66.07
BCBS Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $524.81 / $575.44	Facility		$524.81	$524.81	$575.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $60.26 / $60.26	Professional		$60.26	$60.26	$60.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $489.78 / $489.78	Facility		$489.78	$489.78	$489.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $61.66 / $131.83	Professional		$33.88	$61.66	$131.83
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 $309.03 / $630.96 / $1,621.81	Facility		$309.03	$630.96	$1,621.81
United Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $63.10 / $104.71	Professional		$32.36	$63.10	$104.71