Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $170.54 / $784.00 / $2,825.00	Facility		$170.54	$784.00	$2,825.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $129.71 / $173.85 / $288.61	Professional		$129.71	$173.85	$288.61
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $197.36 / $205.03 / $205.03	Professional		$197.36	$205.03	$205.03
BCBS Facility/Professional Facility Modifier Low / Median / High Price $162.80 / $162.80 / $162.80	Facility		$162.80	$162.80	$162.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $301.00 / $301.00 / $301.00	Professional		$301.00	$301.00	$301.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $129.50 / $129.50 / $2,332.63	Facility		$129.50	$129.50	$2,332.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $136.00 / $222.90 / $356.00	Professional		$136.00	$222.90	$356.00
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 $610.00 / $1,305.00 / $3,046.00	Facility		$610.00	$1,305.00	$3,046.00
United Facility/Professional Professional Modifier Low / Median / High Price $175.48 / $214.56 / $426.32	Professional		$175.48	$214.56	$426.32