Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $640.89 / $1,999.00 / $2,871.00	Facility		$640.89	$1,999.00	$2,871.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $473.32 / $637.13 / $1,196.91	Professional		$473.32	$637.13	$1,196.91
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $688.12 / $1,303.75 / $1,303.75	Professional		$688.12	$1,303.75	$1,303.75
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,605.90 / $1,605.90 / $1,605.90	Facility		$1,605.90	$1,605.90	$1,605.90
BCBS Facility/Professional Professional Modifier Low / Median / High Price $972.00 / $972.00 / $972.00	Professional		$972.00	$972.00	$972.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,732.06 / $1,732.06 / $3,210.40	Facility		$1,732.06	$1,732.06	$3,210.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $516.67 / $775.02 / $1,011.29	Professional		$516.67	$775.02	$1,011.29
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 $700.00 / $2,062.00 / $6,150.00	Facility		$700.00	$2,062.00	$6,150.00
United Facility/Professional Professional Modifier Low / Median / High Price $492.16 / $649.24 / $1,341.15	Professional		$492.16	$649.24	$1,341.15