Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $105.15 / $750.00 / $1,831.00	Facility		$105.15	$750.00	$1,831.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.27 / $105.15 / $214.97	Professional		$48.27	$105.15	$214.97
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $95.78 / $95.78 / $95.78	Professional		$95.78	$95.78	$95.78
BCBS Facility/Professional Facility Modifier Low / Median / High Price $286.13 / $286.13 / $286.13	Facility		$286.13	$286.13	$286.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $128.00 / $128.00 / $128.00	Professional		$128.00	$128.00	$128.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $254.12 / $254.12 / $254.12	Facility		$254.12	$254.12	$254.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.28 / $97.33 / $178.36	Professional		$47.28	$97.33	$178.36
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 / $529.00 / $1,739.00	Facility		$225.00	$529.00	$1,739.00
United Facility/Professional Professional Modifier Low / Median / High Price $67.17 / $103.67 / $231.34	Professional		$67.17	$103.67	$231.34