Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $415.00 / $1,040.00 / $1,831.00	Facility		$415.00	$1,040.00	$1,831.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $130.28 / $392.53 / $1,541.54	Professional		$130.28	$392.53	$1,541.54
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $307.85 / $307.85 / $307.85	Professional		$307.85	$307.85	$307.85
BCBS Facility/Professional Facility Modifier Low / Median / High Price $516.26 / $516.26 / $516.26	Facility		$516.26	$516.26	$516.26
BCBS Facility/Professional Professional Modifier Low / Median / High Price $397.00 / $397.00 / $496.40	Professional		$397.00	$397.00	$496.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $415.00 / $455.62 / $848.70	Facility		$415.00	$455.62	$848.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $160.61 / $339.41 / $1,610.32	Professional		$160.61	$339.41	$1,610.32
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 $610.00 / $1,467.00 / $5,253.00	Facility		$610.00	$1,467.00	$5,253.00
United Facility/Professional Professional Modifier Low / Median / High Price $762.16 / $1,101.30 / $2,160.73	Professional		$762.16	$1,101.30	$2,160.73