Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $1,819.70 / $2,818.38	Facility		$107.15	$1,819.70	$2,818.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $190.55 / $380.19	Professional		$112.20	$190.55	$380.19
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $199.53 / $251.19	Professional		$199.53	$199.53	$251.19
BCBS Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $218.78 / $218.78	Facility		$218.78	$218.78	$218.78
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 $158.49 / $158.49 / $281.84	Facility		$158.49	$158.49	$281.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $194.98 / $323.59	Professional		$123.03	$194.98	$323.59
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 $489.78 / $977.24 / $1,862.09	Facility		$489.78	$977.24	$1,862.09
United Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $218.78 / $426.58	Professional		$120.23	$218.78	$426.58