Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $202.45 / $750.00 / $1,831.00	Facility		$202.45	$750.00	$1,831.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $134.84 / $212.68 / $435.00	Professional		$134.84	$212.68	$435.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $82.28 / $232.96 / $271.04	Professional		$82.28	$232.96	$271.04
BCBS Facility/Professional Facility Modifier Low / Median / High Price $209.89 / $209.89 / $209.89	Facility		$209.89	$209.89	$209.89
BCBS Facility/Professional Professional Modifier Low / Median / High Price $307.00 / $307.00 / $307.00	Professional		$307.00	$307.00	$307.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $161.62 / $161.62 / $658.29	Facility		$161.62	$161.62	$658.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $140.05 / $242.89 / $435.00	Professional		$140.05	$242.89	$435.00
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 $225.00 / $513.00 / $1,581.00	Facility		$225.00	$513.00	$1,581.00
United Facility/Professional Professional Modifier Low / Median / High Price $207.75 / $263.64 / $514.92	Professional		$207.75	$263.64	$514.92