Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $262.49 / $784.00 / $1,831.00	Facility		$262.49	$784.00	$1,831.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $166.51 / $265.49 / $444.22	Professional		$166.51	$265.49	$444.22
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $173.52 / $173.52 / $340.50	Professional		$173.52	$173.52	$340.50
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 $373.00 / $373.00 / $373.00	Professional		$373.00	$373.00	$373.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $207.47 / $207.47 / $382.44	Facility		$207.47	$207.47	$382.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $199.18 / $308.00 / $528.00	Professional		$199.18	$308.00	$528.00
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 $251.00 / $316.97 / $636.45	Professional		$251.00	$316.97	$636.45