Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $2,511.89 / $10,964.78	Facility		$173.78	$2,511.89	$10,964.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $173.78 / $208.93	Professional		$173.78	$173.78	$208.93
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $173.78 / $173.78	Professional		$173.78	$173.78	$173.78
BCBS Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $104.71 / $114.82	Facility		$104.71	$104.71	$114.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $93.33 / $117.49	Professional		$93.33	$93.33	$117.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $173.78 / $173.78	Facility		$173.78	$173.78	$173.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $173.78 / $173.78	Professional		$173.78	$173.78	$173.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $165.96	Professional		$30.20	$30.20	$165.96
United Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $173.78 / $173.78	Facility		$173.78	$173.78	$173.78
United Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $173.78 / $223.87	Professional		$147.91	$173.78	$223.87