Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $1,819.70 / $4,466.84	Facility		$891.25	$1,819.70	$4,466.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,000.00 / $1,318.26	Professional		$891.25	$1,000.00	$1,318.26
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $1,862.09 / $1,862.09	Professional		$1,862.09	$1,862.09	$1,862.09
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,090.30 / $3,090.30 / $3,388.44	Facility		$3,090.30	$3,090.30	$3,388.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,548.13 / $3,548.13 / $3,548.13	Professional		$3,548.13	$3,548.13	$3,548.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,890.45 / $3,890.45 / $3,890.45	Facility		$3,890.45	$3,890.45	$3,890.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $25.12 / $50.12	Professional		$21.38	$25.12	$50.12
United Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $3,548.13 / $10,232.93	Facility		$954.99	$3,548.13	$10,232.93
United Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $2,041.74 / $3,162.28	Professional		$1,122.02	$2,041.74	$3,162.28