Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $1,819.70 / $2,818.38	Facility		$63.10	$1,819.70	$2,818.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $125.89 / $245.47	Professional		$64.57	$125.89	$245.47
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $85.11 / $134.90	Professional		$85.11	$85.11	$134.90
BCBS Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $104.71 / $104.71	Facility		$104.71	$104.71	$104.71
BCBS Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $204.17 / $204.17	Professional		$204.17	$204.17	$204.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $630.96 / $630.96	Facility		$630.96	$630.96	$630.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $112.20 / $223.87	Professional		$67.61	$112.20	$223.87
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 $295.12 / $562.34 / $1,621.81	Facility		$295.12	$562.34	$1,621.81
United Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $114.82 / $208.93	Professional		$67.61	$114.82	$208.93