Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $794.33 / $1,995.26	Facility		$87.10	$794.33	$1,995.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $83.18 / $190.55	Professional		$40.74	$83.18	$190.55
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $77.62 / $89.13	Professional		$67.61	$77.62	$89.13
BCBS Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $89.13 / $89.13	Facility		$89.13	$89.13	$89.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $186.21 / $186.21	Professional		$186.21	$186.21	$186.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $64.57 / $630.96	Facility		$64.57	$64.57	$630.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $89.13 / $158.49	Professional		$46.77	$89.13	$158.49
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 $269.15 / $549.54 / $1,479.11	Facility		$269.15	$549.54	$1,479.11
United Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $93.33 / $181.97	Professional		$45.71	$93.33	$181.97