Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $12,022.64 / $38,018.94	Facility		$60.26	$12,022.64	$38,018.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $60.26 / $16,595.87	Professional		$58.88	$60.26	$16,595.87
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $60.26 / $104.71	Professional		$60.26	$60.26	$104.71
BCBS Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $41.69 / $46.77	Facility		$41.69	$41.69	$46.77
BCBS Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $46.77 / $50.12	Professional		$46.77	$46.77	$50.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $60.26 / $60.26	Facility		$60.26	$60.26	$60.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $60.26 / $60.26	Professional		$60.26	$60.26	$60.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $58.88	Professional		$30.20	$30.20	$58.88
United Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $60.26 / $63.10	Facility		$60.26	$60.26	$63.10
United Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $60.26 / $75.86	Professional		$52.48	$60.26	$75.86