Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $740.00 / $1,500.00 / $2,825.00	Facility		$740.00	$1,500.00	$2,825.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,462.02 / $1,617.75 / $3,633.16	Professional		$1,462.02	$1,617.75	$3,633.16
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2,100.62 / $2,100.62 / $2,100.62	Professional		$2,100.62	$2,100.62	$2,100.62
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,827.51 / $3,827.51 / $3,827.51	Facility		$3,827.51	$3,827.51	$3,827.51
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,588.00 / $3,588.00 / $3,588.00	Professional		$3,588.00	$3,588.00	$3,588.00
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 $1,575.04 / $2,595.98 / $3,628.57	Professional		$1,575.04	$2,595.98	$3,628.57
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 $1,407.23 / $1,831.80 / $3,938.73	Professional		$1,407.23	$1,831.80	$3,938.73