Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $954.99 / $1,995.26	Facility		$204.17	$954.99	$1,995.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $223.87 / $467.74	Professional		$158.49	$223.87	$467.74
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $281.84 / $281.84	Professional		$281.84	$281.84	$281.84
BCBS Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $154.88 / $154.88	Facility		$154.88	$154.88	$154.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $537.03 / $537.03	Professional		$537.03	$537.03	$537.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $134.90 / $524.81	Facility		$123.03	$134.90	$524.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $223.87 / $398.11	Professional		$151.36	$223.87	$398.11
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 $309.03 / $575.44 / $1,621.81	Facility		$309.03	$575.44	$1,621.81
United Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $208.93 / $389.05	Professional		$158.49	$208.93	$389.05