Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $171.37 / $784.00 / $1,831.00	Facility		$171.37	$784.00	$1,831.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.32 / $177.84 / $290.01	Professional		$109.32	$177.84	$290.01
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $139.72 / $139.72 / $139.72	Professional		$139.72	$139.72	$139.72
BCBS Facility/Professional Facility Modifier Low / Median / High Price $171.72 / $171.72 / $171.72	Facility		$171.72	$171.72	$171.72
BCBS Facility/Professional Professional Modifier Low / Median / High Price $298.00 / $298.00 / $298.00	Professional		$298.00	$298.00	$298.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $134.86 / $134.86 / $254.12	Facility		$134.86	$134.86	$254.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $113.78 / $200.20 / $377.74	Professional		$113.78	$200.20	$377.74
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 $169.61 / $217.97 / $430.08	Professional		$169.61	$217.97	$430.08