Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $298.67 / $1,250.00 / $2,825.00	Facility		$298.67	$1,250.00	$2,825.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $113.89 / $269.24 / $807.00	Professional		$113.89	$269.24	$807.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $114.60 / $171.57 / $219.51	Professional		$114.60	$171.57	$219.51
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,052.00 / $1,052.00 / $1,157.19	Facility		$1,052.00	$1,052.00	$1,157.19
BCBS Facility/Professional Professional Modifier Low / Median / High Price $881.00 / $881.00 / $881.00	Professional		$881.00	$881.00	$881.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $145.68 / $276.60 / $555.92	Professional		$145.68	$276.60	$555.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $100.10	Professional		$32.34	$32.34	$100.10
United Facility/Professional Facility Modifier Low / Median / High Price $482.00 / $870.00 / $3,986.00	Facility		$482.00	$870.00	$3,986.00
United Facility/Professional Professional Modifier Low / Median / High Price $254.28 / $358.64 / $695.62	Professional		$254.28	$358.64	$695.62