Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $954.99 / $1,995.26	Facility		$112.20	$954.99	$1,995.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $125.89 / $288.40	Professional		$63.10	$125.89	$288.40
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $87.10 / $154.88	Professional		$58.88	$87.10	$154.88
BCBS Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $123.03 / $134.90	Facility		$123.03	$123.03	$134.90
BCBS Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $257.04 / $257.04	Professional		$112.20	$257.04	$257.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $104.71 / $1,174.90	Facility		$104.71	$104.71	$1,174.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $154.88 / $269.15	Professional		$83.18	$154.88	$269.15
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 $457.09 / $954.99 / $1,949.84	Facility		$457.09	$954.99	$1,949.84
United Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $123.03 / $263.03	Professional		$52.48	$123.03	$263.03