Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $101.20 / $299.23 / $1,040.00	Facility		$101.20	$299.23	$1,040.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.46 / $74.91 / $174.04	Professional		$28.46	$74.91	$174.04
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $27.61 / $27.61 / $75.98	Professional		$27.61	$27.61	$75.98
BCBS Facility/Professional Facility Modifier Low / Median / High Price $27.42 / $27.42 / $30.16	Facility		$27.42	$27.42	$30.16
BCBS Facility/Professional Professional Modifier Low / Median / High Price $131.00 / $131.00 / $131.00	Professional		$131.00	$131.00	$131.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $254.12 / $254.12 / $254.12	Facility		$254.12	$254.12	$254.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.70 / $46.83 / $108.15	Professional		$18.70	$46.83	$108.15
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 $57.30 / $84.06 / $200.29	Professional		$57.30	$84.06	$200.29