Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.12 / $784.00 / $2,010.00	Facility		$29.12	$784.00	$2,010.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.58 / $64.33 / $141.72	Professional		$27.58	$64.33	$141.72
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $95.56 / $95.56 / $107.03	Professional		$95.56	$95.56	$107.03
BCBS Facility/Professional Facility Modifier Low / Median / High Price $569.88 / $569.88 / $569.88	Facility		$569.88	$569.88	$569.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $95.00 / $95.00 / $95.00	Professional		$95.00	$95.00	$95.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $254.12 / $254.12 / $254.12	Facility		$254.12	$254.12	$254.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.14 / $69.91 / $144.19	Professional		$30.14	$69.91	$144.19
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 $73.75 / $92.24 / $205.69	Professional		$73.75	$92.24	$205.69