Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $163.57 / $750.00 / $1,831.00	Facility		$163.57	$750.00	$1,831.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $163.57 / $276.80 / $491.00	Professional		$163.57	$276.80	$491.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $304.45 / $586.17 / $669.15	Professional		$304.45	$586.17	$669.15
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 $374.00 / $374.00 / $374.00	Professional		$374.00	$374.00	$374.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $205.47 / $205.47 / $382.44	Facility		$205.47	$205.47	$382.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $195.38 / $302.45 / $573.41	Professional		$195.38	$302.45	$573.41
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 $246.57 / $308.20 / $626.62	Professional		$246.57	$308.20	$626.62