Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $562.79 / $1,831.00	Facility		$30.90	$562.79	$1,831.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.99 / $42.67 / $104.35	Professional		$13.99	$42.67	$104.35
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $67.65 / $67.65 / $67.65	Professional		$67.65	$67.65	$67.65
BCBS Facility/Professional Facility Modifier Low / Median / High Price $286.13 / $286.13 / $286.13	Facility		$286.13	$286.13	$286.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $59.00 / $59.00 / $59.00	Professional		$59.00	$59.00	$59.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $171.28 / $171.28 / $171.28	Facility		$171.28	$171.28	$171.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.44 / $49.03 / $91.13	Professional		$14.44	$49.03	$91.13
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 $225.00 / $529.00 / $1,739.00	Facility		$225.00	$529.00	$1,739.00
United Facility/Professional Professional Modifier Low / Median / High Price $44.17 / $59.74 / $128.82	Professional		$44.17	$59.74	$128.82