Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $137.60 / $784.00 / $1,831.00	Facility		$137.60	$784.00	$1,831.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $119.84 / $156.09 / $347.96	Professional		$119.84	$156.09	$347.96
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $136.34 / $302.20 / $374.55	Professional		$136.34	$302.20	$374.55
BCBS Facility/Professional Facility Modifier Low / Median / High Price $94.30 / $94.30 / $94.30	Facility		$94.30	$94.30	$94.30
BCBS Facility/Professional Professional Modifier Low / Median / High Price $285.00 / $285.00 / $285.00	Professional		$285.00	$285.00	$285.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $78.63 / $78.63 / $393.27	Facility		$78.63	$78.63	$393.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $142.78 / $219.13 / $311.83	Professional		$142.78	$219.13	$311.83
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 $147.88 / $190.63 / $351.57	Professional		$147.88	$190.63	$351.57