Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $119.89 / $784.00 / $1,831.00	Facility		$119.89	$784.00	$1,831.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $88.60 / $172.85 / $264.81	Professional		$88.60	$172.85	$264.81
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $126.04 / $126.04 / $126.04	Professional		$126.04	$126.04	$126.04
BCBS Facility/Professional Facility Modifier Low / Median / High Price $569.45 / $569.45 / $569.45	Facility		$569.45	$569.45	$569.45
BCBS Facility/Professional Professional Modifier Low / Median / High Price $380.00 / $380.00 / $380.00	Professional		$380.00	$380.00	$380.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $229.09 / $229.09	Facility		$229.09	$229.09	$229.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $215.01 / $442.16	Professional		$104.71	$215.01	$442.16
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 $134.38 / $215.31 / $367.62	Professional		$134.38	$215.31	$367.62