Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $112.15 / $750.00 / $1,831.00	Facility		$112.15	$750.00	$1,831.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.75 / $121.22 / $334.23	Professional		$51.75	$121.22	$334.23
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $164.38 / $164.38 / $164.38	Professional		$164.38	$164.38	$164.38
BCBS Facility/Professional Facility Modifier Low / Median / High Price $122.17 / $122.17 / $134.38	Facility		$122.17	$122.17	$134.38
BCBS Facility/Professional Professional Modifier Low / Median / High Price $256.00 / $256.00 / $256.00	Professional		$256.00	$256.00	$256.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $93.56 / $104.73 / $1,168.67	Facility		$93.56	$104.73	$1,168.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.71 / $154.21 / $270.32	Professional		$83.71	$154.21	$270.32
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 / $870.00 / $3,779.00	Facility		$455.00	$870.00	$3,779.00
United Facility/Professional Professional Modifier Low / Median / High Price $112.09 / $169.06 / $316.64	Professional		$112.09	$169.06	$316.64