Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $159.06 / $750.00 / $1,831.00	Facility		$159.06	$750.00	$1,831.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $106.24 / $159.06 / $417.13	Professional		$106.24	$159.06	$417.13
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $121.00 / $121.00 / $121.00	Professional		$121.00	$121.00	$121.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $132.91 / $132.91 / $146.19	Facility		$132.91	$132.91	$146.19
BCBS Facility/Professional Professional Modifier Low / Median / High Price $387.00 / $387.00 / $387.00	Professional		$387.00	$387.00	$387.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $94.16 / $105.41 / $116.53	Facility		$94.16	$105.41	$116.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $137.03 / $208.31 / $329.51	Professional		$137.03	$208.31	$329.51
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 $141.18 / $223.10 / $431.93	Professional		$141.18	$223.10	$431.93