Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $121.62 / $784.00 / $1,831.00	Facility		$121.62	$784.00	$1,831.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.03 / $121.90 / $268.63	Professional		$72.03	$121.90	$268.63
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $281.20 / $281.20 / $281.20	Professional		$281.20	$281.20	$281.20
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 $178.00 / $178.00 / $178.00	Professional		$178.00	$178.00	$178.00
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 $75.98 / $131.52 / $263.70	Professional		$75.98	$131.52	$263.70
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 $116.93 / $153.28 / $302.61	Professional		$116.93	$153.28	$302.61