Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $74.79 / $350.00 / $1,040.00	Facility		$74.79	$350.00	$1,040.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.53 / $82.97 / $171.20	Professional		$38.53	$82.97	$171.20
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $31.34 / $43.87 / $81.75	Professional		$31.34	$43.87	$81.75
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 $176.00 / $176.00 / $176.00	Professional		$176.00	$176.00	$176.00
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 $41.56 / $90.55 / $189.05	Professional		$41.56	$90.55	$189.05
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 $79.14 / $99.58 / $225.03	Professional		$79.14	$99.58	$225.03