Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $1,584.89 / $5,370.32	Facility		$645.65	$1,584.89	$5,370.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $776.25 / $1,621.81	Professional		$645.65	$776.25	$1,621.81
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $954.99 / $1,621.81	Professional		$707.95	$954.99	$1,621.81
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 $1,230.27 / $1,659.59 / $1,659.59	Professional		$1,230.27	$1,659.59	$1,659.59
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 $741.31 / $1,148.15 / $1,513.56	Professional		$741.31	$1,148.15	$1,513.56
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 / $2,691.53 / $6,606.93	Facility		$794.33	$2,691.53	$6,606.93
United Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $831.76 / $1,737.80	Professional		$645.65	$831.76	$1,737.80