Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $389.25 / $993.00 / $1,831.00	Facility		$389.25	$993.00	$1,831.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $177.11 / $703.13 / $1,320.85	Professional		$177.11	$703.13	$1,320.85
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $187.44 / $220.70 / $644.24	Professional		$187.44	$220.70	$644.24
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,743.60 / $1,743.60 / $1,743.60	Facility		$1,743.60	$1,743.60	$1,743.60
BCBS Facility/Professional Professional Modifier Low / Median / High Price $466.00 / $466.00 / $1,676.54	Professional		$466.00	$466.00	$1,676.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,089.21 / $2,089.21 / $3,888.72	Facility		$2,089.21	$2,089.21	$3,888.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $219.49 / $439.51 / $1,364.08	Professional		$219.49	$439.51	$1,364.08
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 $860.00 / $2,913.00 / $7,175.00	Facility		$860.00	$2,913.00	$7,175.00
United Facility/Professional Professional Modifier Low / Median / High Price $719.82 / $952.04 / $1,969.17	Professional		$719.82	$952.04	$1,969.17