Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $1,288.25 / $1,995.26	Facility		$549.54	$1,288.25	$1,995.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $186.21 / $354.81	Professional		$147.91	$186.21	$354.81
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $169.82 / $575.44	Professional		$147.91	$169.82	$575.44
BCBS Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $870.96 / $870.96	Facility		$870.96	$870.96	$870.96
BCBS Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $389.05 / $389.05	Professional		$389.05	$389.05	$389.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $776.25 / $1,479.11	Facility		$549.54	$776.25	$1,479.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $239.88 / $354.81	Professional		$158.49	$239.88	$354.81
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 $616.60 / $1,513.56 / $3,467.37	Facility		$616.60	$1,513.56	$3,467.37
United Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $190.55 / $416.87	Professional		$138.04	$190.55	$416.87