Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $750.00 / $1,289.81 / $3,300.00	Facility		$750.00	$1,289.81	$3,300.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $553.53 / $887.95 / $1,904.06	Professional		$553.53	$887.95	$1,904.06
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $705.08 / $705.08 / $705.08	Professional		$705.08	$705.08	$705.08
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 $1,835.00 / $1,835.00 / $1,835.00	Professional		$1,835.00	$1,835.00	$1,835.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,137.04 / $4,631.37 / $5,120.09	Facility		$4,137.04	$4,631.37	$5,120.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $718.10 / $1,135.58 / $1,762.49	Professional		$718.10	$1,135.58	$1,762.49
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 $860.00 / $2,913.00 / $7,885.00	Facility		$860.00	$2,913.00	$7,885.00
United Facility/Professional Professional Modifier Low / Median / High Price $795.30 / $1,081.72 / $2,135.25	Professional		$795.30	$1,081.72	$2,135.25