Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $1,819.70 / $2,818.38	Facility		$446.68	$1,819.70	$2,818.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $630.96 / $1,148.15	Professional		$446.68	$630.96	$1,148.15
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $616.60 / $691.83	Professional		$616.60	$616.60	$691.83
BCBS Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $134.90 / $134.90	Facility		$134.90	$134.90	$134.90
BCBS Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $1,258.93 / $1,258.93	Professional		$128.82	$1,258.93	$1,258.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $128.82 / $1,122.02	Facility		$114.82	$128.82	$1,122.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $933.25 / $1,445.44	Professional		$645.65	$933.25	$1,445.44
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 $223.87 / $537.03 / $1,479.11	Facility		$223.87	$537.03	$1,479.11
United Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $724.44 / $1,479.11	Professional		$478.63	$724.44	$1,479.11