Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $933.25 / $1,995.26	Facility		$134.90	$933.25	$1,995.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $144.54 / $257.04	Professional		$72.44	$144.54	$257.04
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $81.28 / $158.49	Professional		$81.28	$81.28	$158.49
BCBS Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $91.20 / $91.20	Facility		$91.20	$91.20	$91.20
BCBS Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $218.78 / $218.78	Professional		$218.78	$218.78	$218.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $89.13 / $194.98	Facility		$89.13	$89.13	$194.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $144.54 / $251.19	Professional		$87.10	$144.54	$251.19
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 $223.87 / $549.54 / $1,621.81	Facility		$223.87	$549.54	$1,621.81
United Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $147.91 / $269.15	Professional		$74.13	$147.91	$269.15