Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $645.65 / $1,995.26	Facility		$158.49	$645.65	$1,995.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $208.93 / $363.08	Professional		$128.82	$208.93	$363.08
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $114.82 / $158.49	Professional		$114.82	$114.82	$158.49
BCBS Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $177.83 / $177.83	Facility		$177.83	$177.83	$177.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $263.03 / $263.03	Professional		$263.03	$263.03	$263.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $169.82 / $389.05	Facility		$169.82	$169.82	$389.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $239.88 / $389.05	Professional		$144.54	$239.88	$389.05
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 / $575.44 / $1,621.81	Facility		$309.03	$575.44	$1,621.81
United Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $213.80 / $398.11	Professional		$144.54	$213.80	$398.11