Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $993.00 / $2,825.00 / $16,792.31	Facility		$993.00	$2,825.00	$16,792.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,271.04 / $1,368.66 / $3,156.10	Professional		$1,271.04	$1,368.66	$3,156.10
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,429.55 / $1,728.46 / $2,733.46	Professional		$1,429.55	$1,728.46	$2,733.46
BCBS Facility/Professional Facility Modifier Low / Median / High Price $14,070.00 / $14,070.00 / $15,477.00	Facility		$14,070.00	$14,070.00	$15,477.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,017.00 / $3,017.00 / $3,017.00	Professional		$3,017.00	$3,017.00	$3,017.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13,417.91 / $15,021.21 / $21,000.00	Facility		$13,417.91	$15,021.21	$21,000.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,364.66 / $2,362.10 / $3,250.98	Professional		$1,364.66	$2,362.10	$3,250.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $32.34	Professional		$32.34	$32.34	$32.34
United Facility/Professional Facility Modifier Low / Median / High Price $1,360.00 / $8,766.00 / $14,783.00	Facility		$1,360.00	$8,766.00	$14,783.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,287.78 / $1,666.54 / $3,478.63	Professional		$1,287.78	$1,666.54	$3,478.63