Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $112.50 / $714.80 / $1,831.00	Facility		$112.50	$714.80	$1,831.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.50 / $167.74 / $312.00	Professional		$112.50	$167.74	$312.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $99.38 / $177.47 / $195.03	Professional		$99.38	$177.47	$195.03
BCBS Facility/Professional Facility Modifier Low / Median / High Price $150.13 / $150.13 / $150.13	Facility		$150.13	$150.13	$150.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $250.00 / $250.00 / $250.00	Professional		$250.00	$250.00	$250.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $117.12 / $117.12 / $1,437.37	Facility		$117.12	$117.12	$1,437.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $118.10 / $194.13 / $312.00	Professional		$118.10	$194.13	$312.00
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 $143.43 / $185.33 / $373.83	Professional		$143.43	$185.33	$373.83