Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $193.56 / $950.00 / $1,831.00	Facility		$193.56	$950.00	$1,831.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $135.41 / $311.73 / $751.52	Professional		$135.41	$311.73	$751.52
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $139.99 / $139.99 / $139.99	Professional		$139.99	$139.99	$139.99
BCBS Facility/Professional Facility Modifier Low / Median / High Price $146.88 / $146.88 / $161.57	Facility		$146.88	$146.88	$161.57
BCBS Facility/Professional Professional Modifier Low / Median / High Price $248.15 / $248.15 / $634.28	Professional		$248.15	$248.15	$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 $133.76 / $223.56 / $353.54	Professional		$133.76	$223.56	$353.54
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 / $4,939.00	Facility		$575.00	$1,305.00	$4,939.00
United Facility/Professional Professional Modifier Low / Median / High Price $176.39 / $240.02 / $513.95	Professional		$176.39	$240.02	$513.95