Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $1,288.25 / $1,995.26	Facility		$549.54	$1,288.25	$1,995.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $1,148.15 / $2,187.76	Professional		$114.82	$1,148.15	$2,187.76
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,096.48 / $1,380.38	Professional		$831.76	$1,096.48	$1,380.38
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $1,445.44 / $1,445.44 / $1,445.44	Professional	50	$1,445.44	$1,445.44	$1,445.44
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,073.80 / $5,754.40 / $5,754.40	Facility		$4,073.80	$5,754.40	$5,754.40
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $1,995.26 / $1,995.26	Professional		$1,995.26	$1,995.26	$1,995.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,023.29 / $1,023.29	Facility		$1,023.29	$1,023.29	$1,023.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $912.01 / $2,951.21	Professional		$131.83	$912.01	$2,951.21
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $1,621.81 / $4,168.69	Facility		$630.96	$1,621.81	$4,168.69
United Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $1,318.26 / $3,019.95	Professional		$125.89	$1,318.26	$3,019.95