Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $954.99 / $2,238.72	Facility		$169.82	$954.99	$2,238.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $165.96 / $263.03	Professional		$109.65	$165.96	$263.03
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $141.25 / $165.96	Professional		$109.65	$141.25	$165.96
BCBS Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $169.82 / $169.82	Facility		$169.82	$169.82	$169.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $281.84 / $281.84	Professional		$281.84	$281.84	$281.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $128.82 / $281.84	Facility		$128.82	$128.82	$281.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $186.21 / $295.12	Professional		$112.20	$186.21	$295.12
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 $489.78 / $1,000.00 / $1,949.84	Facility		$489.78	$1,000.00	$1,949.84
United Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $177.83 / $346.74	Professional		$112.20	$177.83	$346.74