Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $933.25 / $1,819.70	Facility		$100.00	$933.25	$1,819.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $123.03 / $269.15	Professional		$79.43	$123.03	$269.15
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $181.97 / $309.03	Professional		$95.50	$181.97	$309.03
BCBS Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $81.28 / $81.28	Facility		$81.28	$81.28	$81.28
BCBS Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $213.80 / $213.80	Professional		$213.80	$213.80	$213.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $70.79 / $389.05	Facility		$70.79	$70.79	$389.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $144.54 / $223.87	Professional		$97.72	$144.54	$223.87
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 $338.84 / $575.44 / $1,621.81	Facility		$338.84	$575.44	$1,621.81
United Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $131.83 / $239.88	Professional		$87.10	$131.83	$239.88