Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $1,513.56 / $2,570.40	Facility		$630.96	$1,513.56	$2,570.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $181.97 / $208.93	Professional		$128.82	$181.97	$208.93
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $263.03 / $263.03	Professional		$263.03	$263.03	$263.03
BCBS Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $776.25 / $851.14	Facility		$776.25	$776.25	$851.14
BCBS Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $302.00 / $302.00	Professional		$302.00	$302.00	$302.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $870.96 / $870.96	Facility		$870.96	$870.96	$870.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $42.66 / $50.12	Professional		$38.02	$42.66	$50.12
United Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $1,621.81 / $3,235.94	Facility		$630.96	$1,621.81	$3,235.94
United Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $223.87 / $457.09	Professional		$169.82	$223.87	$457.09