Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $954.99 / $1,995.26	Facility		$102.33	$954.99	$1,995.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $102.33 / $181.97	Professional		$67.61	$102.33	$181.97
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $158.49 / $204.17	Professional		$158.49	$158.49	$204.17
BCBS Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $93.33 / $93.33	Facility		$93.33	$93.33	$93.33
BCBS Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $229.09 / $229.09	Professional		$89.13	$229.09	$229.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $83.18 / $371.54	Facility		$74.13	$83.18	$371.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $134.90 / $204.17	Professional		$89.13	$134.90	$204.17
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $537.03 / $1,621.81	Facility		$223.87	$537.03	$1,621.81
United Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $104.71 / $223.87	Professional		$69.18	$104.71	$223.87