Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $207.83 / $750.00 / $1,831.00	Facility		$207.83	$750.00	$1,831.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.45 / $196.25 / $545.02	Professional		$83.45	$196.25	$545.02
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $634.07 / $634.07 / $634.07	Professional		$634.07	$634.07	$634.07
BCBS Facility/Professional Facility Modifier Low / Median / High Price $560.09 / $560.09 / $616.10	Facility		$560.09	$560.09	$616.10
BCBS Facility/Professional Professional Modifier Low / Median / High Price $250.00 / $250.00 / $250.00	Professional		$250.00	$250.00	$250.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $441.66 / $494.44 / $1,168.67	Facility		$441.66	$494.44	$1,168.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $113.00 / $184.72 / $373.40	Professional		$113.00	$184.72	$373.40
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 / $950.00 / $2,011.00	Facility		$455.00	$950.00	$2,011.00
United Facility/Professional Professional Modifier Low / Median / High Price $174.76 / $249.93 / $535.36	Professional		$174.76	$249.93	$535.36