Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $1,318.26 / $1,995.26	Facility		$645.65	$1,318.26	$1,995.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $758.58 / $1,479.11	Professional		$630.96	$758.58	$1,479.11
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $1,023.29 / $1,778.28	Professional		$724.44	$1,023.29	$1,778.28
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $1,071.52 / $1,071.52	Facility		$1,071.52	$1,071.52	$1,071.52
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,202.26 / $1,202.26	Professional		$1,202.26	$1,202.26	$1,202.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,023.29 / $2,454.71	Facility		$1,023.29	$1,023.29	$2,454.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $1,000.00 / $1,659.59	Professional		$660.69	$1,000.00	$1,659.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $1,621.81 / $5,370.32	Facility		$630.96	$1,621.81	$5,370.32
United Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $831.76 / $1,445.44	Professional		$676.08	$831.76	$1,445.44