Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.51 / $750.00 / $1,831.00	Facility		$42.51	$750.00	$1,831.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $48.74 / $103.51	Professional		$25.12	$48.74	$103.51
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $38.49 / $79.62 / $124.40	Professional		$38.49	$79.62	$124.40
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 $80.00 / $80.00 / $80.00	Professional		$80.00	$80.00	$80.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $171.28 / $171.28 / $171.28	Facility		$171.28	$171.28	$171.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.98 / $48.50 / $95.00	Professional		$25.98	$48.50	$95.00
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 / $485.00 / $1,650.00	Facility		$225.00	$485.00	$1,650.00
United Facility/Professional Professional Modifier Low / Median / High Price $46.17 / $59.54 / $114.77	Professional		$46.17	$59.54	$114.77