Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $115.25 / $784.00 / $1,831.00	Facility		$115.25	$784.00	$1,831.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.77 / $121.45 / $195.05	Professional		$71.77	$121.45	$195.05
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $137.21 / $137.21 / $137.21	Professional		$137.21	$137.21	$137.21
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 $188.00 / $188.00 / $188.00	Professional		$188.00	$188.00	$188.00
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 $75.70 / $130.60 / $258.32	Professional		$75.70	$130.60	$258.32
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 $114.06 / $149.30 / $322.50	Professional		$114.06	$149.30	$322.50