Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $472.47 / $1,502.00 / $2,825.00	Facility		$472.47	$1,502.00	$2,825.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $205.59 / $1,603.80 / $3,429.36	Professional		$205.59	$1,603.80	$3,429.36
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $103.16 / $194.49 / $494.18	Professional		$103.16	$194.49	$494.18
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,737.57 / $4,737.57 / $4,737.57	Facility		$4,737.57	$4,737.57	$4,737.57
BCBS Facility/Professional Professional Modifier Low / Median / High Price $572.00 / $572.00 / $4,737.57	Professional		$572.00	$572.00	$4,737.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,000.00 / $3,888.72	Facility		$1,000.00	$1,000.00	$3,888.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $289.33 / $569.28 / $4,733.25	Professional		$289.33	$569.28	$4,733.25
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 / $5,800.00 / $14,043.00	Facility		$1,185.00	$5,800.00	$14,043.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,136.63 / $3,205.56 / $7,156.38	Professional		$2,136.63	$3,205.56	$7,156.38