Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $54.17 / $784.00 / $2,010.00	Facility		$54.17	$784.00	$2,010.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.17 / $97.60 / $198.02	Professional		$54.17	$97.60	$198.02
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $75.08 / $75.08 / $75.08	Professional		$75.08	$75.08	$75.08
BCBS Facility/Professional Facility Modifier Low / Median / High Price $114.78 / $114.78 / $114.78	Facility		$114.78	$114.78	$114.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $156.00 / $156.00 / $156.00	Professional		$156.00	$156.00	$156.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $92.36 / $92.36 / $254.12	Facility		$92.36	$92.36	$254.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $55.34 / $109.03 / $221.06	Professional		$55.34	$109.03	$221.06
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 $111.32 / $140.22 / $299.55	Professional		$111.32	$140.22	$299.55