Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $184.41 / $750.00 / $2,475.00	Facility		$184.41	$750.00	$2,475.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $148.86 / $193.85 / $328.81	Professional		$148.86	$193.85	$328.81
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $218.90 / $249.89 / $249.89	Professional		$218.90	$249.89	$249.89
BCBS Facility/Professional Facility Modifier Low / Median / High Price $177.81 / $177.81 / $177.81	Facility		$177.81	$177.81	$177.81
BCBS Facility/Professional Professional Modifier Low / Median / High Price $341.00 / $341.00 / $341.00	Professional		$341.00	$341.00	$341.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $140.88 / $140.88 / $1,437.37	Facility		$140.88	$140.88	$1,437.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $155.37 / $248.89 / $396.00	Professional		$155.37	$248.89	$396.00
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 $197.86 / $239.16 / $473.65	Professional		$197.86	$239.16	$473.65