Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $1,023.29 / $1,995.26	Facility		$134.90	$1,023.29	$1,995.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $134.90 / $309.03	Professional		$97.72	$134.90	$309.03
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $147.91 / $223.87	Professional		$87.10	$147.91	$223.87
BCBS Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $120.23 / $134.90	Facility		$120.23	$120.23	$134.90
BCBS Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $338.84 / $338.84	Professional		$97.72	$338.84	$338.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $87.10 / $95.50	Facility		$77.62	$87.10	$95.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $186.21 / $288.40	Professional		$128.82	$186.21	$288.40
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 $100.00 / $151.36 / $309.03	Professional		$100.00	$151.36	$309.03