Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $55.42 / $520.14 / $1,831.00	Facility		$55.42	$520.14	$1,831.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.35 / $62.33 / $115.00	Professional		$45.35	$62.33	$115.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $75.52 / $94.85 / $148.19	Professional		$75.52	$94.85	$148.19
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 $103.00 / $103.00 / $103.00	Professional		$103.00	$103.00	$103.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $254.12 / $254.12 / $254.12	Facility		$254.12	$254.12	$254.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.00 / $78.56 / $115.00	Professional		$47.00	$78.56	$115.00
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 $54.57 / $73.45 / $136.01	Professional		$54.57	$73.45	$136.01