Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $615.00 / $1,311.00 / $2,825.00	Facility		$615.00	$1,311.00	$2,825.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $301.69 / $1,445.30 / $3,658.73	Professional		$301.69	$1,445.30	$3,658.73
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $136.26 / $136.26 / $195.82	Professional		$136.26	$136.26	$195.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $787.00 / $787.00 / $787.00	Professional		$787.00	$787.00	$787.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $400.63 / $811.61 / $3,583.97	Professional		$400.63	$811.61	$3,583.97
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $270.72	Professional		$32.34	$32.34	$270.72
United Facility/Professional Facility Modifier Low / Median / High Price $225.00 / $529.00 / $1,650.00	Facility		$225.00	$529.00	$1,650.00
United Facility/Professional Professional Modifier Low / Median / High Price $443.58 / $2,159.55 / $4,514.04	Professional		$443.58	$2,159.55	$4,514.04