Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $838.69 / $1,836.00 / $4,460.70	Facility		$838.69	$1,836.00	$4,460.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $779.01 / $897.89 / $2,163.09	Professional		$779.01	$897.89	$2,163.09
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,294.39 / $1,294.39 / $1,294.39	Professional		$1,294.39	$1,294.39	$1,294.39
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,386.59 / $2,386.59 / $2,386.59	Facility		$2,386.59	$2,386.59	$2,386.59
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,696.00 / $1,696.00 / $1,696.00	Professional		$1,696.00	$1,696.00	$1,696.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,166.63 / $2,395.26 / $5,429.91	Facility		$2,166.63	$2,395.26	$5,429.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $832.20 / $1,241.60 / $1,857.18	Professional		$832.20	$1,241.60	$1,857.18
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 $985.00 / $3,428.00 / $9,302.00	Facility		$985.00	$3,428.00	$9,302.00
United Facility/Professional Professional Modifier Low / Median / High Price $823.65 / $1,037.48 / $1,912.56	Professional		$823.65	$1,037.48	$1,912.56