Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $218.85 / $935.00 / $1,831.00	Facility		$218.85	$935.00	$1,831.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $99.60 / $183.29 / $406.73	Professional		$99.60	$183.29	$406.73
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $117.32 / $129.81 / $129.81	Professional		$117.32	$129.81	$129.81
BCBS Facility/Professional Facility Modifier Low / Median / High Price $174.99 / $174.99 / $174.99	Facility		$174.99	$174.99	$174.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $168.26 / $382.00 / $382.00	Professional		$168.26	$382.00	$382.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $129.29 / $137.97 / $2,530.42	Facility		$129.29	$137.97	$2,530.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $122.39 / $216.81 / $359.55	Professional		$122.39	$216.81	$359.55
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 $163.13 / $225.68 / $488.73	Professional		$163.13	$225.68	$488.73