Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $1,288.25 / $1,995.26	Facility		$338.84	$1,288.25	$1,995.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $371.54 / $707.95	Professional		$154.88	$371.54	$707.95
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $354.81 / $354.81	Professional		$354.81	$354.81	$354.81
BCBS Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $354.81 / $354.81	Facility		$354.81	$354.81	$354.81
BCBS Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $758.58 / $758.58	Professional		$758.58	$758.58	$758.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $239.88 / $954.99	Facility		$239.88	$239.88	$954.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $338.84 / $758.58	Professional		$173.78	$338.84	$758.58
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 $489.78 / $1,071.52 / $3,801.89	Facility		$489.78	$1,071.52	$3,801.89
United Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $354.81 / $933.25	Professional		$158.49	$354.81	$933.25