Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $58.91 / $784.00 / $1,831.00	Facility		$58.91	$784.00	$1,831.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.03 / $61.00 / $112.00	Professional		$39.03	$61.00	$112.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $69.97 / $69.97 / $153.78	Professional		$69.97	$69.97	$153.78
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 $101.00 / $101.00 / $101.00	Professional		$101.00	$101.00	$101.00
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 $40.32 / $72.13 / $129.88	Professional		$40.32	$72.13	$129.88
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 / $579.00 / $1,888.00	Facility		$225.00	$579.00	$1,888.00
United Facility/Professional Professional Modifier Low / Median / High Price $58.30 / $75.50 / $159.81	Professional		$58.30	$75.50	$159.81