Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $103.49 / $784.00 / $1,831.00	Facility		$103.49	$784.00	$1,831.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.82 / $112.20 / $202.59	Professional		$57.82	$112.20	$202.59
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $265.08 / $265.08 / $265.08	Professional		$265.08	$265.08	$265.08
BCBS Facility/Professional Facility Modifier Low / Median / High Price $99.93 / $99.93 / $99.93	Facility		$99.93	$99.93	$99.93
BCBS Facility/Professional Professional Modifier Low / Median / High Price $159.00 / $159.00 / $159.00	Professional		$159.00	$159.00	$159.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $76.63 / $76.63 / $658.29	Facility		$76.63	$76.63	$658.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.70 / $123.03 / $242.11	Professional		$60.70	$123.03	$242.11
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 $106.45 / $131.49 / $256.99	Professional		$106.45	$131.49	$256.99