Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $1,819.70 / $5,754.40	Facility		$138.04	$1,819.70	$5,754.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $154.88 / $269.15	Professional		$97.72	$154.88	$269.15
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $141.25 / $234.42	Professional		$97.72	$141.25	$234.42
BCBS Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $144.54 / $144.54	Facility		$144.54	$144.54	$144.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $194.98 / $194.98	Professional		$194.98	$194.98	$194.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $109.65 / $1,513.56	Facility		$109.65	$109.65	$1,513.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $177.83 / $275.42	Professional		$109.65	$177.83	$275.42
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 $630.96 / $1,621.81 / $3,311.31	Facility		$630.96	$1,621.81	$3,311.31
United Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $154.88 / $245.47	Professional		$109.65	$154.88	$245.47