Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $177.92 / $179.32 / $299.49	Facility		$177.92	$179.32	$299.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $146.38 / $177.92 / $299.49	Professional		$146.38	$177.92	$299.49
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $195.01 / $195.01 / $195.01	Professional		$195.01	$195.01	$195.01
BCBS Facility/Professional Facility Modifier Low / Median / High Price $181.00 / $181.00 / $181.00	Facility		$181.00	$181.00	$181.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $181.00 / $181.00 / $181.00	Professional		$181.00	$181.00	$181.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $148.36 / $215.06 / $288.60	Professional		$148.36	$215.06	$288.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $132.13	Professional		$32.34	$32.34	$132.13
United Facility/Professional Professional Modifier Low / Median / High Price $147.59 / $185.56 / $280.81	Professional		$147.59	$185.56	$280.81