Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $275.42 / $288.40	Facility		$186.21	$275.42	$288.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $186.21 / $288.40	Professional		$134.90	$186.21	$288.40
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $251.19 / $416.87	Professional		$218.78	$251.19	$416.87
BCBS Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $120.23 / $120.23	Facility		$120.23	$120.23	$120.23
BCBS Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $269.15 / $269.15	Professional		$269.15	$269.15	$269.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $239.88 / $251.19	Facility		$117.49	$239.88	$251.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $208.93 / $407.38	Professional		$104.71	$208.93	$407.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $42.66 / $67.61	Professional		$21.38	$42.66	$67.61
United Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $630.96 / $977.24	Facility		$190.55	$630.96	$977.24
United Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $194.98 / $316.23	Professional		$117.49	$194.98	$316.23