Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.04 / $784.00 / $2,010.00	Facility		$51.04	$784.00	$2,010.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.04 / $112.73 / $217.00	Professional		$51.04	$112.73	$217.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $132.94 / $132.94 / $132.94	Professional		$132.94	$132.94	$132.94
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 $151.00 / $151.00 / $151.00	Professional		$151.00	$151.00	$151.00
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 $52.53 / $108.50 / $214.64	Professional		$52.53	$108.50	$214.64
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 / $579.00 / $1,888.00	Facility		$225.00	$579.00	$1,888.00
United Facility/Professional Professional Modifier Low / Median / High Price $111.46 / $135.22 / $290.72	Professional		$111.46	$135.22	$290.72