Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $119.12 / $993.00 / $3,288.00	Facility		$119.12	$993.00	$3,288.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.53 / $119.12 / $258.27	Professional		$97.53	$119.12	$258.27
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $161.94 / $317.77 / $317.77	Professional		$161.94	$317.77	$317.77
BCBS Facility/Professional Facility Modifier Low / Median / High Price $91.01 / $91.01 / $91.01	Facility		$91.01	$91.01	$91.01
BCBS Facility/Professional Professional Modifier Low / Median / High Price $245.00 / $245.00 / $245.00	Professional		$245.00	$245.00	$245.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $87.68 / $87.68 / $393.27	Facility		$87.68	$87.68	$393.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.72 / $165.84 / $226.28	Professional		$107.72	$165.84	$226.28
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 $225.00 / $529.00 / $1,739.00	Facility		$225.00	$529.00	$1,739.00
United Facility/Professional Professional Modifier Low / Median / High Price $108.62 / $149.79 / $302.45	Professional		$108.62	$149.79	$302.45