Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $1,047.13 / $2,818.38	Facility		$89.13	$1,047.13	$2,818.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $117.49 / $213.80	Professional		$61.66	$117.49	$213.80
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $102.33 / $151.36	Professional		$56.23	$102.33	$151.36
BCBS Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $398.11 / $457.09	Facility		$398.11	$398.11	$457.09
BCBS Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $114.82 / $114.82	Professional		$114.82	$114.82	$114.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $389.05 / $389.05	Facility		$389.05	$389.05	$389.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $112.20 / $181.97	Professional		$72.44	$112.20	$181.97
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 $66.07 / $104.71 / $204.17	Professional		$66.07	$104.71	$204.17