Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $1,258.93 / $1,995.26	Facility		$446.68	$1,258.93	$1,995.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $446.68 / $794.33	Professional		$281.84	$446.68	$794.33
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $147.91 / $371.54	Professional		$147.91	$147.91	$371.54
BCBS Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $741.31 / $741.31	Facility		$741.31	$741.31	$741.31
BCBS Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $1,023.29 / $1,023.29	Professional		$724.44	$1,023.29	$1,023.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $724.44 / $3,162.28	Facility		$660.69	$724.44	$3,162.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $549.54 / $831.76	Professional		$363.08	$549.54	$831.76
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 / $2,187.76 / $5,370.32	Facility		$794.33	$2,187.76	$5,370.32
United Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $457.09 / $912.01	Professional		$288.40	$457.09	$912.01