Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,675.00 / $1,675.00 / $2,934.23	Facility		$1,675.00	$1,675.00	$2,934.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,675.00 / $2,100.00 / $2,956.98	Professional		$1,675.00	$2,100.00	$2,956.98
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2,873.68 / $5,639.08 / $5,639.08	Professional		$2,873.68	$5,639.08	$5,639.08
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,965.00 / $2,965.00 / $2,965.00	Facility		$2,965.00	$2,965.00	$2,965.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,965.00 / $2,965.00 / $2,965.00	Professional		$2,965.00	$2,965.00	$2,965.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,167.00 / $2,956.98 / $3,863.24	Professional		$2,167.00	$2,956.98	$3,863.24
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 $690.00 / $1,223.00 / $4,093.00	Facility		$690.00	$1,223.00	$4,093.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,835.11 / $2,275.28 / $3,787.39	Professional		$1,835.11	$2,275.28	$3,787.39