Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $290.49 / $993.00 / $3,193.25	Facility		$290.49	$993.00	$3,193.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $110.77 / $250.78 / $750.52	Professional		$110.77	$250.78	$750.52
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $111.44 / $111.44 / $111.44	Professional		$111.44	$111.44	$111.44
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,052.00 / $1,052.00 / $1,157.19	Facility		$1,052.00	$1,052.00	$1,157.19
BCBS Facility/Professional Professional Modifier Low / Median / High Price $683.00 / $683.00 / $683.00	Professional		$683.00	$683.00	$683.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $141.94 / $258.22 / $519.03	Professional		$141.94	$258.22	$519.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $97.57	Professional		$32.34	$32.34	$97.57
United Facility/Professional Facility Modifier Low / Median / High Price $482.00 / $870.00 / $3,986.00	Facility		$482.00	$870.00	$3,986.00
United Facility/Professional Professional Modifier Low / Median / High Price $237.28 / $372.37 / $656.77	Professional		$237.28	$372.37	$656.77