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 $309.03 / $389.05 / $758.58	Professional		$309.03	$389.05	$758.58
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $295.12 / $295.12	Professional		$295.12	$295.12	$295.12
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $1,288.25 / $1,288.25	Facility		$1,288.25	$1,288.25	$1,288.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,202.26 / $1,230.27	Professional		$1,202.26	$1,202.26	$1,230.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $1,230.27 / $3,162.28	Facility		$1,122.02	$1,230.27	$3,162.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $588.84 / $1,148.15	Professional		$407.38	$588.84	$1,148.15
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 $794.33 / $2,344.23 / $6,165.95	Facility		$794.33	$2,344.23	$6,165.95
United Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $588.84 / $1,288.25	Professional		$302.00	$588.84	$1,288.25