Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $106.32 / $2,395.53 / $2,719.80	Facility		$106.32	$2,395.53	$2,719.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $106.32 / $107.40 / $127.60	Professional		$106.32	$107.40	$127.60
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $136.04 / $136.04 / $136.04	Professional		$136.04	$136.04	$136.04
BCBS Facility/Professional Facility Modifier Low / Median / High Price $126.71 / $126.71 / $126.71	Facility		$126.71	$126.71	$126.71
BCBS Facility/Professional Professional Modifier Low / Median / High Price $137.26 / $137.26 / $137.26	Professional		$137.26	$137.26	$137.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $106.33 / $106.33 / $135.55	Facility		$106.33	$106.33	$135.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $106.33 / $106.33 / $106.33	Professional		$106.33	$106.33	$106.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $135.49 / $163.60 / $217.59	Professional		$135.49	$163.60	$217.59
United Facility/Professional Professional Modifier Low / Median / High Price $101.01 / $106.33 / $147.34	Professional		$101.01	$106.33	$147.34