Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $86.72 / $293.85 / $1,149.03	Facility		$86.72	$293.85	$1,149.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.02 / $102.14 / $213.72	Professional		$95.02	$102.14	$213.72
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $270.00 / $270.00 / $385.20	Professional		$270.00	$270.00	$385.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.00 / $64.00 / $64.00	Facility		$64.00	$64.00	$64.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $119.90 / $119.90 / $119.90	Professional		$119.90	$119.90	$119.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $40.00 / $50.00	Professional		$40.00	$40.00	$50.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $100.63 / $100.63 / $100.63	Professional		$100.63	$100.63	$100.63