Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.50 / $784.00 / $2,010.00	Facility		$43.50	$784.00	$2,010.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.49 / $96.09 / $223.18	Professional		$43.49	$96.09	$223.18
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $117.13 / $117.13 / $239.00	Professional		$117.13	$117.13	$239.00
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 $254.12 / $254.12 / $254.12	Facility		$254.12	$254.12	$254.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $95.62 / $182.12	Professional		$44.67	$95.62	$182.12
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 $55.93 / $112.06 / $214.38	Professional		$55.93	$112.06	$214.38