Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $1,513.56 / $2,570.40	Facility		$691.83	$1,513.56	$2,570.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $691.83 / $851.14	Professional		$501.19	$691.83	$851.14
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $741.31 / $741.31	Professional		$741.31	$741.31	$741.31
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,981.07 / $3,981.07 / $3,981.07	Facility		$3,981.07	$3,981.07	$3,981.07
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $1,778.28 / $1,778.28	Professional		$1,778.28	$1,778.28	$1,778.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,073.80 / $4,073.80 / $4,466.84	Facility		$4,073.80	$4,073.80	$4,466.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $42.66 / $50.12	Professional		$42.66	$42.66	$50.12
United Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $4,168.69 / $10,471.29	Facility		$977.24	$4,168.69	$10,471.29
United Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $891.25 / $1,621.81	Professional		$676.08	$891.25	$1,621.81