Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $954.99 / $1,995.26	Facility		$194.98	$954.99	$1,995.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $190.55 / $331.13	Professional		$107.15	$190.55	$331.13
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $128.82 / $128.82	Professional		$128.82	$128.82	$128.82
BCBS Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $173.78 / $173.78	Facility		$173.78	$173.78	$173.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $380.19 / $380.19	Professional		$380.19	$380.19	$380.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $138.04 / $2,511.89	Facility		$128.82	$138.04	$2,511.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $204.17 / $346.74	Professional		$117.49	$204.17	$346.74
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 / $1,479.11 / $3,090.30	Facility		$616.60	$1,479.11	$3,090.30
United Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $177.83 / $331.13	Professional		$100.00	$177.83	$331.13