Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $70.84 / $537.55 / $1,831.00	Facility		$70.84	$537.55	$1,831.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.07 / $83.78 / $157.00	Professional		$32.07	$83.78	$157.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $30.82 / $107.74 / $141.00	Professional		$30.82	$107.74	$141.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $440.76 / $617.11 / $617.11	Facility		$440.76	$617.11	$617.11
BCBS Facility/Professional Professional Modifier Low / Median / High Price $128.00 / $128.00 / $128.00	Professional		$128.00	$128.00	$128.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $74.95 / $74.95 / $74.95	Facility		$74.95	$74.95	$74.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.03 / $77.95 / $172.07	Professional		$33.03	$77.95	$172.07
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 / $537.00 / $1,650.00	Facility		$225.00	$537.00	$1,650.00
United Facility/Professional Professional Modifier Low / Median / High Price $87.12 / $102.49 / $205.85	Professional		$87.12	$102.49	$205.85