Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $212.90 / $680.00 / $1,831.00	Facility		$212.90	$680.00	$1,831.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $125.81 / $212.90 / $369.06	Professional		$125.81	$212.90	$369.06
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $104.32 / $491.52 / $561.10	Professional		$104.32	$491.52	$561.10
BCBS Facility/Professional Facility Modifier Low / Median / High Price $209.89 / $209.89 / $209.89	Facility		$209.89	$209.89	$209.89
BCBS Facility/Professional Professional Modifier Low / Median / High Price $283.00 / $283.00 / $283.00	Professional		$283.00	$283.00	$283.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $186.72 / $186.72 / $382.44	Facility		$186.72	$186.72	$382.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $150.62 / $248.40 / $465.65	Professional		$150.62	$248.40	$465.65
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 $199.25 / $249.76 / $522.03	Professional		$199.25	$249.76	$522.03