Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $208.11 / $935.00 / $1,831.00	Facility		$208.11	$935.00	$1,831.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.79 / $201.23 / $409.94	Professional		$100.79	$201.23	$409.94
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $155.72 / $155.72 / $225.19	Professional		$155.72	$155.72	$225.19
BCBS Facility/Professional Facility Modifier Low / Median / High Price $697.58 / $697.58 / $697.58	Facility		$697.58	$697.58	$697.58
BCBS Facility/Professional Professional Modifier Low / Median / High Price $220.00 / $220.00 / $670.75	Professional		$220.00	$220.00	$670.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $415.00 / $594.99 / $1,124.50	Facility		$415.00	$594.99	$1,124.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.52 / $202.54 / $361.00	Professional		$112.52	$202.54	$361.00
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 $575.00 / $1,305.00 / $3,191.00	Facility		$575.00	$1,305.00	$3,191.00
United Facility/Professional Professional Modifier Low / Median / High Price $174.60 / $241.14 / $515.24	Professional		$174.60	$241.14	$515.24