Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $933.25 / $1,995.26	Facility		$199.53	$933.25	$1,995.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $204.17 / $346.74	Professional		$128.82	$204.17	$346.74
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $144.54 / $302.00	Professional		$144.54	$144.54	$302.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $154.88 / $154.88	Facility		$154.88	$154.88	$154.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $288.40 / $288.40	Professional		$288.40	$288.40	$288.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $134.90 / $371.54	Facility		$134.90	$134.90	$371.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $234.42 / $371.54	Professional		$141.25	$234.42	$371.54
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 $309.03 / $562.34 / $1,621.81	Facility		$309.03	$562.34	$1,621.81
United Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $223.87 / $380.19	Professional		$128.82	$223.87	$380.19