Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $415.00 / $936.00 / $1,831.00	Facility		$415.00	$936.00	$1,831.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $158.10 / $169.78 / $526.42	Professional		$158.10	$169.78	$526.42
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $225.32 / $225.32 / $225.32	Professional		$225.32	$225.32	$225.32
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 Professional Modifier Low / Median / High Price $203.38 / $282.83 / $410.72	Professional		$203.38	$282.83	$410.72
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 $216.00 / $491.00 / $1,650.00	Facility		$216.00	$491.00	$1,650.00
United Facility/Professional Professional Modifier Low / Median / High Price $161.66 / $237.15 / $474.48	Professional		$161.66	$237.15	$474.48