Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $148.54 / $750.00 / $1,831.00	Facility		$148.54	$750.00	$1,831.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.98 / $129.08 / $320.98	Professional		$89.98	$129.08	$320.98
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $111.18 / $111.18 / $111.18	Professional		$111.18	$111.18	$111.18
BCBS Facility/Professional Facility Modifier Low / Median / High Price $109.07 / $109.07 / $109.07	Facility		$109.07	$109.07	$109.07
BCBS Facility/Professional Professional Modifier Low / Median / High Price $242.00 / $242.00 / $242.00	Professional		$242.00	$242.00	$242.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $112.52 / $112.52 / $227.77	Facility		$112.52	$112.52	$227.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $113.70 / $177.73 / $265.95	Professional		$113.70	$177.73	$265.95
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 $115.76 / $165.00 / $325.31	Professional		$115.76	$165.00	$325.31