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 $272.61 / $303.89 / $511.57	Professional		$272.61	$303.89	$511.57
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $296.44 / $296.44 / $296.44	Professional		$296.44	$296.44	$296.44
BCBS Facility/Professional Facility Modifier Low / Median / High Price $286.13 / $286.13 / $286.13	Facility		$286.13	$286.13	$286.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $284.00 / $284.00 / $284.00	Professional		$284.00	$284.00	$284.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $152.69 / $152.69 / $152.69	Facility		$152.69	$152.69	$152.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $187.78 / $306.58 / $362.89	Professional		$187.78	$306.58	$362.89
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 $225.00 / $529.00 / $1,739.00	Facility		$225.00	$529.00	$1,739.00
United Facility/Professional Professional Modifier Low / Median / High Price $218.54 / $257.69 / $415.23	Professional		$218.54	$257.69	$415.23