Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $1,047.13 / $1,995.26	Facility		$93.33	$1,047.13	$1,995.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $251.19 / $933.25	Professional		$95.50	$251.19	$933.25
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $158.49 / $660.69	Professional		$117.49	$158.49	$660.69
BCBS Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $117.49 / $128.82	Facility		$117.49	$117.49	$128.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $446.68 / $446.68	Professional		$446.68	$446.68	$446.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $588.84 / $660.69	Facility		$575.44	$588.84	$660.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $457.09 / $1,000.00	Professional		$102.33	$457.09	$1,000.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $33.11	Professional		$32.36	$33.11	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $1,513.56 / $3,162.28	Facility		$616.60	$1,513.56	$3,162.28
United Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $467.74 / $1,096.48	Professional		$95.50	$467.74	$1,096.48