Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $1,047.13 / $7,413.10	Facility		$457.09	$1,047.13	$7,413.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $660.69 / $2,691.53	Professional		$151.36	$660.69	$2,691.53
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $309.03 / $1,380.38	Professional		$144.54	$309.03	$1,380.38
BCBS Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $173.78 / $190.55	Facility		$173.78	$173.78	$190.55
BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,073.80 / $4,073.80 / $4,073.80	Professional		$4,073.80	$4,073.80	$4,073.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $1,202.26 / $3,467.37	Professional		$194.98	$1,202.26	$3,467.37
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 $1,174.90 / $5,370.32 / $11,481.54	Facility		$1,174.90	$5,370.32	$11,481.54
United Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $1,318.26 / $3,715.35	Professional		$158.49	$1,318.26	$3,715.35