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 / $3,131.45	Facility		$1,675.00	$1,675.00	$3,131.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,675.00 / $2,310.00 / $3,131.45	Professional		$1,675.00	$2,310.00	$3,131.45
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $6,044.43 / $6,044.43 / $6,044.43	Professional		$6,044.43	$6,044.43	$6,044.43
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,123.00 / $3,123.00 / $3,123.00	Facility		$3,123.00	$3,123.00	$3,123.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,123.00 / $3,123.00 / $3,123.00	Professional		$3,123.00	$3,123.00	$3,123.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,067.00 / $3,171.94 / $4,122.96	Professional		$2,067.00	$3,171.94	$4,122.96
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 $1,939.72 / $2,494.51 / $4,043.24	Professional		$1,939.72	$2,494.51	$4,043.24