Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.47 / $784.00 / $2,010.00	Facility		$42.47	$784.00	$2,010.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.47 / $93.82 / $181.00	Professional		$42.47	$93.82	$181.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $118.15 / $118.15 / $118.15	Professional		$118.15	$118.15	$118.15
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 $134.00 / $134.00 / $134.00	Professional		$134.00	$134.00	$134.00
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 $43.42 / $96.12 / $186.81	Professional		$43.42	$96.12	$186.81
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 $95.23 / $119.99 / $255.66	Professional		$95.23	$119.99	$255.66