Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $74.39 / $530.00 / $1,831.00	Facility		$74.39	$530.00	$1,831.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.46 / $86.79 / $155.00	Professional		$62.46	$86.79	$155.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $62.34 / $91.68 / $201.50	Professional		$62.34	$91.68	$201.50
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 $125.00 / $125.00 / $125.00	Professional		$125.00	$125.00	$125.00
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 $64.64 / $101.00 / $155.00	Professional		$64.64	$101.00	$155.00
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 $72.92 / $91.95 / $184.90	Professional		$72.92	$91.95	$184.90