Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $54.95 / $239.88	Facility		$30.90	$54.95	$239.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $44.67 / $87.10	Professional		$25.70	$44.67	$87.10
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $22.39 / $48.98	Professional		$19.95	$22.39	$48.98
BCBS Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $602.56 / $602.56	Facility		$602.56	$602.56	$602.56
BCBS Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $85.11 / $85.11	Professional		$85.11	$85.11	$85.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $257.04 / $257.04	Facility		$257.04	$257.04	$257.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $28.84 / $56.23	Professional		$16.60	$28.84	$56.23
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 $467.74 / $724.44 / $1,071.52	Facility		$467.74	$724.44	$1,071.52
United Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $36.31 / $52.48	Professional		$24.55	$36.31	$52.48