Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $954.99 / $1,995.26	Facility		$87.10	$954.99	$1,995.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $93.33 / $162.18	Professional		$51.29	$93.33	$162.18
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $25.12 / $46.77	Professional		$25.12	$25.12	$46.77
BCBS Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $97.72 / $97.72	Facility		$97.72	$97.72	$97.72
BCBS Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $151.36 / $151.36	Professional		$151.36	$151.36	$151.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $66.07 / $851.14	Facility		$57.54	$66.07	$851.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $95.50 / $194.98	Professional		$53.70	$95.50	$194.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $33.11	Professional		$32.36	$33.11	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $912.01 / $1,862.09	Facility		$457.09	$912.01	$1,862.09
United Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $95.50 / $181.97	Professional		$50.12	$95.50	$181.97