Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $680.00 / $1,140.00 / $2,010.00	Facility		$680.00	$1,140.00	$2,010.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $622.53 / $809.12 / $1,573.15	Professional		$622.53	$809.12	$1,573.15
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2,032.70 / $2,032.70 / $2,032.70	Professional		$2,032.70	$2,032.70	$2,032.70
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,696.24 / $1,696.24 / $1,696.24	Facility		$1,696.24	$1,696.24	$1,696.24
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,639.00 / $1,639.00 / $1,639.00	Professional		$1,639.00	$1,639.00	$1,639.00
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 $951.00 / $1,248.33 / $1,612.13	Professional		$951.00	$1,248.33	$1,612.13
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 $834.87 / $939.19 / $1,684.11	Professional		$834.87	$939.19	$1,684.11