Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $157.80 / $645.00 / $1,831.00	Facility		$157.80	$645.00	$1,831.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $103.20 / $166.76 / $394.10	Professional		$103.20	$166.76	$394.10
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $157.88 / $157.88 / $183.15	Professional		$157.88	$157.88	$183.15
BCBS Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $177.83 / $177.83	Facility		$177.83	$177.83	$177.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $263.00 / $263.00 / $263.00	Professional		$263.00	$263.00	$263.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $168.71 / $168.71 / $393.27	Facility		$168.71	$168.71	$393.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $169.79 / $254.68 / $384.74	Professional		$169.79	$254.68	$384.74
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 / $536.00 / $1,888.00	Facility		$225.00	$536.00	$1,888.00
United Facility/Professional Professional Modifier Low / Median / High Price $176.98 / $248.70 / $550.00	Professional		$176.98	$248.70	$550.00