Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $110.80 / $1,000.00 / $2,812.00	Facility		$110.80	$1,000.00	$2,812.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.40 / $87.81 / $145.01	Professional		$65.40	$87.81	$145.01
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $147.34 / $147.34 / $147.34	Professional		$147.34	$147.34	$147.34
BCBS Facility/Professional Professional Modifier Low / Median / High Price $77.48 / $103.31 / $136.74	Professional		$77.48	$103.31	$136.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $86.00 / $135.37 / $188.03	Professional		$86.00	$135.37	$188.03
United Facility/Professional Facility Modifier Low / Median / High Price $130.00 / $328.00 / $768.00	Facility		$130.00	$328.00	$768.00
United Facility/Professional Professional Modifier Low / Median / High Price $81.15 / $115.09 / $182.48	Professional		$81.15	$115.09	$182.48