Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $311.68 / $408.00 / $1,831.00	Facility		$311.68	$408.00	$1,831.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $73.30 / $161.91 / $688.44	Professional		$73.30	$161.91	$688.44
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $48.44 / $86.51 / $341.06	Professional		$48.44	$86.51	$341.06
BCBS Facility/Professional Facility Modifier Low / Median / High Price $757.01 / $757.01 / $1,005.54	Facility		$757.01	$757.01	$1,005.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,133.00 / $1,133.00 / $1,133.00	Professional		$1,133.00	$1,133.00	$1,133.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $108.59 / $444.54 / $983.86	Professional		$108.59	$444.54	$983.86
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 $455.00 / $858.00 / $3,779.00	Facility		$455.00	$858.00	$3,779.00
United Facility/Professional Professional Modifier Low / Median / High Price $407.89 / $550.82 / $1,044.18	Professional		$407.89	$550.82	$1,044.18