Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $319.70 / $1,040.00 / $2,825.00	Facility		$319.70	$1,040.00	$2,825.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $142.62 / $667.57 / $3,544.23	Professional		$142.62	$667.57	$3,544.23
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $156.24 / $156.24 / $163.51	Professional		$156.24	$156.24	$163.51
BCBS Facility/Professional Facility Modifier Low / Median / High Price $173.44 / $173.44 / $190.79	Facility		$173.44	$173.44	$190.79
BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,058.00 / $4,058.00 / $4,058.00	Professional		$4,058.00	$4,058.00	$4,058.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $194.31 / $1,210.27 / $3,461.65	Professional		$194.31	$1,210.27	$3,461.65
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 $1,359.32 / $2,160.83 / $3,700.49	Professional		$1,359.32	$2,160.83	$3,700.49