Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $124.03 / $784.00 / $1,831.00	Facility		$124.03	$784.00	$1,831.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.53 / $106.07 / $268.02	Professional		$87.53	$106.07	$268.02
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $122.43 / $294.00 / $294.00	Professional		$122.43	$294.00	$294.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $108.85 / $108.85 / $108.85	Facility		$108.85	$108.85	$108.85
BCBS Facility/Professional Professional Modifier Low / Median / High Price $199.00 / $199.00 / $199.00	Professional		$199.00	$199.00	$199.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $107.08 / $107.08 / $847.29	Facility		$107.08	$107.08	$847.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.71 / $148.13 / $220.00	Professional		$102.71	$148.13	$220.00
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 $455.00 / $858.00 / $3,779.00	Facility		$455.00	$858.00	$3,779.00
United Facility/Professional Professional Modifier Low / Median / High Price $93.96 / $133.16 / $300.94	Professional		$93.96	$133.16	$300.94