Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $1,819.70 / $5,623.41	Facility		$112.20	$1,819.70	$5,623.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $117.49 / $213.80	Professional		$81.28	$117.49	$213.80
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $114.82 / $114.82	Professional		$114.82	$114.82	$114.82
BCBS Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $83.18 / $83.18	Facility		$83.18	$83.18	$83.18
BCBS Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $234.42 / $234.42	Professional		$234.42	$234.42	$234.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $67.61 / $851.14	Facility		$67.61	$67.61	$851.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $147.91 / $234.42	Professional		$89.13	$147.91	$234.42
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 / $1,000.00 / $1,949.84	Facility		$489.78	$1,000.00	$1,949.84
United Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $128.82 / $229.09	Professional		$81.28	$128.82	$229.09