Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $189.53 / $936.00 / $2,825.00	Facility		$189.53	$936.00	$2,825.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $124.03 / $194.52 / $350.00	Professional		$124.03	$194.52	$350.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $216.82 / $216.82 / $216.82	Professional		$216.82	$216.82	$216.82
BCBS Facility/Professional Facility Modifier Low / Median / High Price $197.05 / $197.05 / $197.05	Facility		$197.05	$197.05	$197.05
BCBS Facility/Professional Professional Modifier Low / Median / High Price $285.00 / $285.00 / $285.00	Professional		$285.00	$285.00	$285.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $151.59 / $151.59 / $658.29	Facility		$151.59	$151.59	$658.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.74 / $221.95 / $416.03	Professional		$128.74	$221.95	$416.03
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 $192.95 / $241.83 / $477.32	Professional		$192.95	$241.83	$477.32