Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $283.45 / $1,040.00 / $2,825.00	Facility		$283.45	$1,040.00	$2,825.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $155.62 / $249.37 / $595.54	Professional		$155.62	$249.37	$595.54
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $306.18 / $306.18 / $306.18	Professional		$306.18	$306.18	$306.18
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,430.26 / $1,430.26 / $1,430.26	Facility		$1,430.26	$1,430.26	$1,430.26
BCBS Facility/Professional Professional Modifier Low / Median / High Price $481.00 / $481.00 / $1,375.25	Professional		$481.00	$481.00	$1,375.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $415.00 / $1,265.30 / $2,530.42	Facility		$415.00	$1,265.30	$2,530.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $188.75 / $325.00 / $531.77	Professional		$188.75	$325.00	$531.77
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 $575.00 / $1,305.00 / $3,191.00	Facility		$575.00	$1,305.00	$3,191.00
United Facility/Professional Professional Modifier Low / Median / High Price $243.39 / $336.20 / $730.27	Professional		$243.39	$336.20	$730.27