Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $1,047.13 / $2,818.38	Facility		$165.96	$1,047.13	$2,818.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $123.03 / $281.84	Professional		$53.70	$123.03	$281.84
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $67.61 / $125.89	Professional		$33.88	$67.61	$125.89
BCBS Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $190.55 / $190.55	Facility		$190.55	$190.55	$190.55
BCBS Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $194.98 / $194.98	Professional		$194.98	$194.98	$194.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $154.88 / $851.14	Facility		$134.90	$154.88	$851.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $151.36 / $281.84	Professional		$60.26	$151.36	$281.84
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 / $954.99 / $1,862.09	Facility		$457.09	$954.99	$1,862.09
United Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $144.54 / $269.15	Professional		$52.48	$144.54	$269.15