Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $93.06 / $221.37 / $384.75	Facility		$93.06	$221.37	$384.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.07 / $117.21 / $221.37	Professional		$93.07	$117.21	$221.37
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $246.74 / $246.74 / $246.74	Professional		$246.74	$246.74	$246.74
BCBS Facility/Professional Facility Modifier Low / Median / High Price $145.02 / $145.02 / $159.52	Facility		$145.02	$145.02	$159.52
BCBS Facility/Professional Professional Modifier Low / Median / High Price $214.00 / $214.00 / $214.00	Professional		$214.00	$214.00	$214.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $67.59 / $78.61 / $139.40	Facility		$67.59	$78.61	$139.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $98.25 / $173.44 / $277.39	Professional		$98.25	$173.44	$277.39
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $76.03	Professional		$32.34	$32.34	$76.03
United Facility/Professional Facility Modifier Low / Median / High Price $129.44 / $129.44 / $129.44	Facility		$129.44	$129.44	$129.44
United Facility/Professional Professional Modifier Low / Median / High Price $101.30 / $138.85 / $245.72	Professional		$101.30	$138.85	$245.72