Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $938.89 / $1,685.10 / $4,208.75	Facility		$938.89	$1,685.10	$4,208.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $931.51 / $1,088.28 / $2,329.12	Professional		$931.51	$1,088.28	$2,329.12
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $913.19 / $1,393.39 / $2,412.73	Professional		$913.19	$1,393.39	$2,412.73
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 $1,890.00 / $1,890.00 / $1,890.00	Professional		$1,890.00	$1,890.00	$1,890.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,244.37 / $3,632.03 / $7,556.60	Facility		$3,244.37	$3,632.03	$7,556.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,012.25 / $1,722.40 / $2,329.61	Professional		$1,012.25	$1,722.40	$2,329.61
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 $1,185.00 / $5,261.00 / $11,325.00	Facility		$1,185.00	$5,261.00	$11,325.00
United Facility/Professional Professional Modifier Low / Median / High Price $948.20 / $1,227.08 / $2,522.80	Professional		$948.20	$1,227.08	$2,522.80