Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $134.94 / $936.00 / $1,831.00	Facility		$134.94	$936.00	$1,831.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.45 / $80.30 / $157.91	Professional		$62.45	$80.30	$157.91
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $90.12 / $170.75 / $170.75	Professional		$90.12	$170.75	$170.75
BCBS Facility/Professional Professional Modifier Low / Median / High Price $182.00 / $182.00 / $182.00	Professional		$182.00	$182.00	$182.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,000.00 / $1,000.00	Facility		$1,000.00	$1,000.00	$1,000.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $73.83 / $114.99 / $151.13	Professional		$73.83	$114.99	$151.13
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 $690.00 / $1,223.00 / $4,093.00	Facility		$690.00	$1,223.00	$4,093.00
United Facility/Professional Professional Modifier Low / Median / High Price $72.76 / $97.22 / $180.57	Professional		$72.76	$97.22	$180.57