Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $150.31 / $900.00 / $1,831.00	Facility		$150.31	$900.00	$1,831.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.38 / $150.31 / $295.00	Professional		$70.38	$150.31	$295.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $137.02 / $137.02 / $137.02	Professional		$137.02	$137.02	$137.02
BCBS Facility/Professional Facility Modifier Low / Median / High Price $569.88 / $569.88 / $569.88	Facility		$569.88	$569.88	$569.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $144.00 / $144.00 / $144.00	Professional		$144.00	$144.00	$144.00
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 $87.81 / $152.16 / $278.27	Professional		$87.81	$152.16	$278.27
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 $129.29 / $167.05 / $350.39	Professional		$129.29	$167.05	$350.39