Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $1,288.25 / $1,995.26	Facility		$83.18	$1,288.25	$1,995.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $89.13 / $151.36	Professional		$41.69	$89.13	$151.36
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $85.11 / $93.33	Professional		$41.69	$85.11	$93.33
BCBS Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $87.10 / $87.10	Facility		$87.10	$87.10	$87.10
BCBS Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $199.53 / $199.53	Professional		$83.18	$199.53	$199.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $58.88 / $426.58	Facility		$52.48	$58.88	$426.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $114.82 / $239.88	Professional		$57.54	$114.82	$239.88
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 $223.87 / $562.34 / $1,621.81	Facility		$223.87	$562.34	$1,621.81
United Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $95.50 / $245.47	Professional		$43.65	$95.50	$245.47