Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $256.29 / $1,250.00 / $3,926.51	Facility		$256.29	$1,250.00	$3,926.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $200.71 / $300.50 / $459.09	Professional		$200.71	$300.50	$459.09
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $319.39 / $319.39 / $319.39	Professional		$319.39	$319.39	$319.39
BCBS Facility/Professional Facility Modifier Low / Median / High Price $749.31 / $749.31 / $749.31	Facility		$749.31	$749.31	$749.31
BCBS Facility/Professional Professional Modifier Low / Median / High Price $396.00 / $396.00 / $396.00	Professional		$396.00	$396.00	$396.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $732.73 / $732.73 / $2,332.63	Facility		$732.73	$732.73	$2,332.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $214.18 / $344.35 / $486.72	Professional		$214.18	$344.35	$486.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $32.34	Professional		$32.34	$32.34	$32.34
United Facility/Professional Facility Modifier Low / Median / High Price $610.00 / $1,305.00 / $3,046.00	Facility		$610.00	$1,305.00	$3,046.00
United Facility/Professional Professional Modifier Low / Median / High Price $261.86 / $329.50 / $663.52	Professional		$261.86	$329.50	$663.52