Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $135.01 / $784.00 / $1,831.00	Facility		$135.01	$784.00	$1,831.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $113.98 / $151.34 / $341.40	Professional		$113.98	$151.34	$341.40
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $194.97 / $194.97 / $194.97	Professional		$194.97	$194.97	$194.97
BCBS Facility/Professional Facility Modifier Low / Median / High Price $103.22 / $103.22 / $103.22	Facility		$103.22	$103.22	$103.22
BCBS Facility/Professional Professional Modifier Low / Median / High Price $268.00 / $268.00 / $268.00	Professional		$268.00	$268.00	$268.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $88.34 / $88.34 / $393.27	Facility		$88.34	$88.34	$393.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $125.28 / $200.93 / $287.36	Professional		$125.28	$200.93	$287.36
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 $143.49 / $184.77 / $377.35	Professional		$143.49	$184.77	$377.35