Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $255.41 / $936.00 / $1,831.00	Facility		$255.41	$936.00	$1,831.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $122.55 / $288.56	Professional		$107.15	$122.55	$288.56
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $76.70 / $125.43 / $294.00	Professional		$76.70	$125.43	$294.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $141.65 / $141.65 / $141.65	Facility		$141.65	$141.65	$141.65
BCBS Facility/Professional Professional Modifier Low / Median / High Price $870.00 / $870.00 / $870.00	Professional		$870.00	$870.00	$870.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $119.14 / $133.38 / $147.46	Facility		$119.14	$133.38	$147.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $117.19 / $194.12 / $258.08	Professional		$117.19	$194.12	$258.08
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 / $513.00 / $1,739.00	Facility		$225.00	$513.00	$1,739.00
United Facility/Professional Professional Modifier Low / Median / High Price $109.87 / $138.60 / $313.98	Professional		$109.87	$138.60	$313.98