Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $2,041.74 / $3,981.07	Facility		$616.60	$2,041.74	$3,981.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $446.68 / $1,258.93	Professional		$141.25	$446.68	$1,258.93
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $169.82 / $912.01	Professional		$134.90	$169.82	$912.01
BCBS Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $194.98 / $218.78	Facility		$194.98	$194.98	$218.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $912.01 / $912.01	Professional		$912.01	$912.01	$912.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $724.44 / $724.44	Facility		$724.44	$724.44	$724.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $602.56 / $1,258.93	Professional		$186.21	$602.56	$1,258.93
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 / $3,311.31	Facility		$630.96	$1,621.81	$3,311.31
United Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $549.54 / $1,148.15	Professional		$162.18	$549.54	$1,148.15