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 $602.56 / $758.58 / $1,380.38	Professional		$602.56	$758.58	$1,380.38
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $724.44 / $724.44	Professional		$724.44	$724.44	$724.44
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 $1,230.27 / $1,230.27 / $1,230.27	Professional		$1,230.27	$1,230.27	$1,230.27
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 $602.56 / $1,047.13 / $1,548.82	Professional		$602.56	$1,047.13	$1,548.82
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 / $4,073.80	Facility		$630.96	$1,621.81	$4,073.80
United Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $870.96 / $1,513.56	Professional		$707.95	$870.96	$1,513.56