Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $1,071.52 / $1,479.11	Facility		$933.25	$1,071.52	$1,479.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $933.25 / $1,202.26	Professional		$758.58	$933.25	$1,202.26
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $1,071.52 / $2,398.83	Professional		$602.56	$1,071.52	$2,398.83
BCBS Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $478.63 / $524.81	Facility		$478.63	$478.63	$524.81
BCBS Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $630.96 / $630.96	Professional		$630.96	$630.96	$630.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $416.87 / $416.87	Facility		$416.87	$416.87	$416.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $954.99 / $1,479.11	Professional		$645.65	$954.99	$1,479.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $44.67 / $79.43	Professional		$25.12	$44.67	$79.43
United Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $660.69 / $977.24	Facility		$426.58	$660.69	$977.24
United Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $1,000.00 / $1,621.81	Professional		$724.44	$1,000.00	$1,621.81