Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $130.51 / $750.00 / $1,831.00	Facility		$130.51	$750.00	$1,831.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.43 / $146.49 / $330.04	Professional		$97.43	$146.49	$330.04
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $175.11 / $246.80 / $246.80	Professional		$175.11	$246.80	$246.80
BCBS Facility/Professional Facility Modifier Low / Median / High Price $100.40 / $100.40 / $100.40	Facility		$100.40	$100.40	$100.40
BCBS Facility/Professional Professional Modifier Low / Median / High Price $258.00 / $258.00 / $258.00	Professional		$258.00	$258.00	$258.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $84.67 / $84.67 / $393.27	Facility		$84.67	$84.67	$393.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $119.95 / $195.21 / $277.67	Professional		$119.95	$195.21	$277.67
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 / $572.00 / $1,888.00	Facility		$225.00	$572.00	$1,888.00
United Facility/Professional Professional Modifier Low / Median / High Price $139.41 / $178.50 / $366.64	Professional		$139.41	$178.50	$366.64