Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $173.03 / $2,539.67 / $9,991.83	Facility		$173.03	$2,539.67	$9,991.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.03 / $174.76 / $207.64	Professional		$173.03	$174.76	$207.64
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $164.92 / $164.92 / $172.55	Professional		$164.92	$164.92	$172.55
BCBS Facility/Professional Facility Modifier Low / Median / High Price $104.62 / $104.62 / $115.08	Facility		$104.62	$104.62	$115.08
BCBS Facility/Professional Professional Modifier Low / Median / High Price $93.50 / $93.50 / $118.58	Professional		$93.50	$93.50	$118.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $165.71 / $173.03 / $173.03	Facility		$165.71	$173.03	$173.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $173.03 / $173.03 / $173.03	Professional		$173.03	$173.03	$173.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $151.24 / $164.92 / $219.34	Professional		$151.24	$164.92	$219.34
United Facility/Professional Professional Modifier Low / Median / High Price $167.84 / $173.03 / $221.48	Professional		$167.84	$173.03	$221.48