Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $137.77 / $1,140.00 / $6,315.94	Facility		$137.77	$1,140.00	$6,315.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $98.74 / $144.10 / $268.00	Professional		$98.74	$144.10	$268.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $115.01 / $115.01 / $115.01	Professional		$115.01	$115.01	$115.01
BCBS Facility/Professional Facility Modifier Low / Median / High Price $143.09 / $143.09 / $143.09	Facility		$143.09	$143.09	$143.09
BCBS Facility/Professional Professional Modifier Low / Median / High Price $195.00 / $195.00 / $195.00	Professional		$195.00	$195.00	$195.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $110.42 / $110.42 / $1,505.84	Facility		$110.42	$110.42	$1,505.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $118.82 / $178.70 / $276.04	Professional		$118.82	$178.70	$276.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $32.34	Professional		$32.34	$32.34	$32.34
United Facility/Professional Facility Modifier Low / Median / High Price $610.00 / $1,305.00 / $3,046.00	Facility		$610.00	$1,305.00	$3,046.00
United Facility/Professional Professional Modifier Low / Median / High Price $142.05 / $175.03 / $389.59	Professional		$142.05	$175.03	$389.59