Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $257.60 / $1,140.00 / $2,825.00	Facility		$257.60	$1,140.00	$2,825.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $250.12 / $734.03 / $1,753.94	Professional		$250.12	$734.03	$1,753.94
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $101.91 / $220.72 / $561.63	Professional		$101.91	$220.72	$561.63
BCBS Facility/Professional Professional Modifier Low / Median / High Price $639.00 / $639.00 / $639.00	Professional		$639.00	$639.00	$639.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $325.38 / $655.60 / $1,894.18	Professional		$325.38	$655.60	$1,894.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $204.62	Professional		$32.34	$32.34	$204.62
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 $735.38 / $1,058.52 / $2,172.73	Professional		$735.38	$1,058.52	$2,172.73