Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.75 / $236.10 / $1,831.00	Facility		$52.75	$236.10	$1,831.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.02 / $71.30 / $142.00	Professional		$31.02	$71.30	$142.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $25.79 / $25.79 / $55.85	Professional		$25.79	$25.79	$55.85
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 $108.00 / $108.00 / $108.00	Professional		$108.00	$108.00	$108.00
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 $33.04 / $67.40 / $141.15	Professional		$33.04	$67.40	$141.15
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 $68.64 / $84.95 / $174.06	Professional		$68.64	$84.95	$174.06