Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $90.54 / $194.15 / $391.00	Facility		$90.54	$194.15	$391.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $90.54 / $126.24 / $246.27	Professional		$90.54	$126.24	$246.27
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $224.22 / $224.22 / $224.22	Professional		$224.22	$224.22	$224.22
BCBS Facility/Professional Facility Modifier Low / Median / High Price $80.69 / $80.69 / $80.69	Facility		$80.69	$80.69	$80.69
BCBS Facility/Professional Professional Modifier Low / Median / High Price $268.00 / $268.00 / $268.00	Professional		$268.00	$268.00	$268.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $57.69 / $64.59 / $388.28	Facility		$57.69	$64.59	$388.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $118.43 / $179.30 / $273.80	Professional		$118.43	$179.30	$273.80
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 $114.11 / $148.38 / $328.89	Professional		$114.11	$148.38	$328.89