Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $954.99 / $1,995.26	Facility		$104.71	$954.99	$1,995.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $100.00 / $245.47	Professional		$26.92	$100.00	$245.47
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $165.96 / $194.98	Professional		$42.66	$165.96	$194.98
BCBS Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $134.90 / $134.90	Facility		$134.90	$134.90	$134.90
BCBS Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $223.87 / $223.87	Professional		$131.83	$223.87	$223.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $91.20 / $363.08	Facility		$81.28	$91.20	$363.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $134.90 / $245.47	Professional		$38.90	$134.90	$245.47
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 $29.51 / $107.15 / $257.04	Professional		$29.51	$107.15	$257.04