Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $92.77 / $549.00 / $1,831.00	Facility		$92.77	$549.00	$1,831.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.26 / $228.95 / $588.72	Professional		$85.26	$228.95	$588.72
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $109.30 / $109.30 / $109.30	Professional		$109.30	$109.30	$109.30
BCBS Facility/Professional Facility Modifier Low / Median / High Price $414.17 / $414.17 / $414.17	Facility		$414.17	$414.17	$414.17
BCBS Facility/Professional Professional Modifier Low / Median / High Price $208.00 / $208.00 / $208.00	Professional		$208.00	$208.00	$208.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $343.78 / $343.78 / $850.95	Facility		$343.78	$343.78	$850.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $122.19 / $226.65 / $697.57	Professional		$122.19	$226.65	$697.57
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 $202.71 / $396.32 / $1,240.89	Professional		$202.71	$396.32	$1,240.89