Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $663.17 / $1,320.00 / $2,118.09	Facility		$663.17	$1,320.00	$2,118.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $663.17 / $702.81 / $2,118.09	Professional		$663.17	$702.81	$2,118.09
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,726.05 / $1,726.05 / $1,726.05	Professional		$1,726.05	$1,726.05	$1,726.05
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,035.83 / $1,035.83 / $1,035.83	Facility		$1,035.83	$1,035.83	$1,035.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,315.00 / $1,315.00 / $1,315.00	Professional		$1,315.00	$1,315.00	$1,315.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $854.73 / $956.86 / $2,406.80	Facility		$854.73	$956.86	$2,406.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $725.09 / $1,129.84 / $1,590.80	Professional		$725.09	$1,129.84	$1,590.80
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 $799.00 / $2,361.00 / $6,928.00	Facility		$799.00	$2,361.00	$6,928.00
United Facility/Professional Professional Modifier Low / Median / High Price $645.42 / $914.95 / $1,873.26	Professional		$645.42	$914.95	$1,873.26