Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $177.83 / $389.05	Facility		$93.33	$177.83	$389.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $123.03 / $218.78	Professional		$93.33	$123.03	$218.78
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $245.47 / $251.19	Professional		$245.47	$245.47	$251.19
BCBS Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $144.54 / $158.49	Facility		$144.54	$144.54	$158.49
BCBS Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $213.80 / $213.80	Professional		$213.80	$213.80	$213.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $81.28 / $138.04	Facility		$67.61	$81.28	$138.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $173.78 / $275.42	Professional		$95.50	$173.78	$275.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $74.13	Professional		$32.36	$33.11	$74.13
United Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $158.49 / $173.78	Facility		$87.10	$158.49	$173.78
United Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $138.04 / $204.17	Professional		$102.33	$138.04	$204.17