Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $750.00 / $1,320.00 / $2,406.38	Facility		$750.00	$1,320.00	$2,406.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $951.62 / $1,155.25 / $2,406.38	Professional		$951.62	$1,155.25	$2,406.38
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,425.21 / $2,610.28 / $2,610.28	Professional		$1,425.21	$2,610.28	$2,610.28
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,004.00 / $2,004.00 / $2,004.00	Professional		$2,004.00	$2,004.00	$2,004.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,000.00 / $1,000.00	Facility		$1,000.00	$1,000.00	$1,000.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,104.51 / $1,656.77 / $2,245.79	Professional		$1,104.51	$1,656.77	$2,245.79
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 / $2,913.00 / $8,411.00	Facility		$860.00	$2,913.00	$8,411.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,054.33 / $1,442.47 / $2,816.90	Professional		$1,054.33	$1,442.47	$2,816.90