Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $1,819.70 / $4,466.84	Facility		$912.01	$1,819.70	$4,466.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,122.02 / $2,344.23	Professional		$912.01	$1,122.02	$2,344.23
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $912.01 / $1,047.13	Professional		$912.01	$912.01	$1,047.13
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,677.35 / $4,677.35 / $4,677.35	Facility		$4,677.35	$4,677.35	$4,677.35
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $2,041.74 / $2,041.74	Professional		$2,041.74	$2,041.74	$2,041.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $5,011.87 / $6,606.93	Facility		$5,011.87	$5,011.87	$6,606.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,621.81 / $2,398.83	Professional		$1,047.13	$1,621.81	$2,398.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $6,025.60 / $15,848.93	Facility		$1,174.90	$6,025.60	$15,848.93
United Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,318.26 / $2,570.40	Professional		$1,047.13	$1,318.26	$2,570.40