Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $634.00 / $1,119.71 / $2,010.00	Facility		$634.00	$1,119.71	$2,010.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $441.14 / $508.51 / $1,119.71	Professional		$441.14	$508.51	$1,119.71
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $656.14 / $656.14 / $656.14	Professional		$656.14	$656.14	$656.14
BCBS Facility/Professional Facility Modifier Low / Median / High Price $926.90 / $926.90 / $926.90	Facility		$926.90	$926.90	$926.90
BCBS Facility/Professional Professional Modifier Low / Median / High Price $951.00 / $951.00 / $951.00	Professional		$951.00	$951.00	$951.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $774.66 / $867.23 / $2,135.98	Facility		$774.66	$867.23	$2,135.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $508.46 / $787.22 / $1,050.89	Professional		$508.46	$787.22	$1,050.89
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 $610.00 / $1,305.00 / $3,046.00	Facility		$610.00	$1,305.00	$3,046.00
United Facility/Professional Professional Modifier Low / Median / High Price $454.32 / $561.21 / $1,143.26	Professional		$454.32	$561.21	$1,143.26