Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $195.32 / $1,040.00 / $1,831.00	Facility		$195.32	$1,040.00	$1,831.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $92.96 / $278.55 / $1,339.30	Professional		$92.96	$278.55	$1,339.30
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $89.35 / $135.18 / $157.71	Professional		$89.35	$135.18	$157.71
BCBS Facility/Professional Facility Modifier Low / Median / High Price $117.16 / $117.16 / $128.88	Facility		$117.16	$117.16	$128.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $449.00 / $449.00 / $634.28	Professional		$449.00	$449.00	$634.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $569.79 / $588.00 / $654.80	Facility		$569.79	$588.00	$654.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.89 / $472.86 / $1,037.23	Professional		$107.89	$472.86	$1,037.23
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 $610.00 / $1,527.00 / $4,939.00	Facility		$610.00	$1,527.00	$4,939.00
United Facility/Professional Professional Modifier Low / Median / High Price $520.09 / $708.95 / $1,539.71	Professional		$520.09	$708.95	$1,539.71