Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $645.00 / $1,295.00 / $2,010.00	Facility		$645.00	$1,295.00	$2,010.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $640.50 / $766.46 / $1,716.34	Professional		$640.50	$766.46	$1,716.34
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,418.39 / $1,768.00 / $1,768.00	Professional		$1,418.39	$1,768.00	$1,768.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,644.37 / $3,644.37 / $3,644.37	Facility		$3,644.37	$3,644.37	$3,644.37
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,704.00 / $1,704.00 / $1,704.00	Professional		$1,704.00	$1,704.00	$1,704.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,244.37 / $3,552.02 / $4,015.30	Facility		$3,244.37	$3,552.02	$4,015.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $741.53 / $1,166.99 / $1,557.43	Professional		$741.53	$1,166.99	$1,557.43
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 $717.00 / $2,148.00 / $6,612.00	Facility		$717.00	$2,148.00	$6,612.00
United Facility/Professional Professional Modifier Low / Median / High Price $636.54 / $827.70 / $1,692.66	Professional		$636.54	$827.70	$1,692.66