Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $1,311.00 / $1,831.00	Facility		$555.00	$1,311.00	$1,831.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.38 / $387.87 / $1,264.85	Professional		$128.38	$387.87	$1,264.85
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $296.64 / $296.64 / $296.64	Professional		$296.64	$296.64	$296.64
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,790.37 / $1,790.37 / $1,790.37	Facility		$1,790.37	$1,790.37	$1,790.37
BCBS Facility/Professional Professional Modifier Low / Median / High Price $414.00 / $414.00 / $1,721.51	Professional		$414.00	$414.00	$1,721.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $588.00 / $1,525.25 / $1,743.34	Facility		$588.00	$1,525.25	$1,743.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $162.13 / $338.46 / $1,332.99	Professional		$162.13	$338.46	$1,332.99
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 / $3,559.00 / $8,974.00	Facility		$860.00	$3,559.00	$8,974.00
United Facility/Professional Professional Modifier Low / Median / High Price $622.30 / $967.11 / $1,726.84	Professional		$622.30	$967.11	$1,726.84