Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.21 / $183.52 / $1,140.00	Facility		$47.21	$183.52	$1,140.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.63 / $97.78 / $207.29	Professional		$50.63	$97.78	$207.29
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $41.28 / $41.28 / $51.60	Professional		$41.28	$41.28	$51.60
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 $207.00 / $207.00 / $207.00	Professional		$207.00	$207.00	$207.00
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 $54.42 / $115.29 / $221.14	Professional		$54.42	$115.29	$221.14
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 $96.93 / $119.42 / $251.26	Professional		$96.93	$119.42	$251.26