Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $91.25 / $900.00 / $1,831.00	Facility		$91.25	$900.00	$1,831.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.25 / $141.38 / $254.00	Professional		$91.25	$141.38	$254.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $149.80 / $345.85	Professional		$125.89	$149.80	$345.85
BCBS Facility/Professional Facility Modifier Low / Median / High Price $135.59 / $135.59 / $135.59	Facility		$135.59	$135.59	$135.59
BCBS Facility/Professional Professional Modifier Low / Median / High Price $225.00 / $225.00 / $225.00	Professional		$225.00	$225.00	$225.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $105.41 / $105.41 / $1,437.37	Facility		$105.41	$105.41	$1,437.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.15 / $163.44 / $278.00	Professional		$95.15	$163.44	$278.00
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 $455.00 / $858.00 / $1,957.00	Facility		$455.00	$858.00	$1,957.00
United Facility/Professional Professional Modifier Low / Median / High Price $131.81 / $166.29 / $332.55	Professional		$131.81	$166.29	$332.55