Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $1,621.81 / $3,630.78	Facility		$398.11	$1,621.81	$3,630.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $457.09 / $851.14	Professional		$389.05	$457.09	$851.14
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $426.58 / $1,000.00	Professional		$389.05	$426.58	$1,000.00
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 $954.99 / $954.99 / $954.99	Professional		$954.99	$954.99	$954.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $1,230.27 / $3,162.28	Facility		$1,230.27	$1,230.27	$3,162.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $691.83 / $977.24	Professional		$407.38	$691.83	$977.24
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 $812.83 / $2,691.53 / $6,606.93	Facility		$812.83	$2,691.53	$6,606.93
United Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $549.54 / $1,071.52	Professional		$407.38	$549.54	$1,071.52