Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $274.05 / $645.50 / $9,062.00	Facility		$274.05	$645.50	$9,062.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $134.38 / $394.45 / $899.70	Professional		$134.38	$394.45	$899.70
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $105.97 / $105.97 / $105.97	Professional		$105.97	$105.97	$105.97
BCBS Facility/Professional Facility Modifier Low / Median / High Price $471.82 / $1,017.95 / $1,853.23	Facility		$471.82	$1,017.95	$1,853.23
BCBS Facility/Professional Professional Modifier Low / Median / High Price $124.67 / $190.00 / $758.91	Professional		$124.67	$190.00	$758.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $617.39 / $617.39 / $617.39	Facility		$617.39	$617.39	$617.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $160.93 / $385.52 / $1,053.94	Professional		$160.93	$385.52	$1,053.94
Medcost Facility/Professional Facility Modifier Low / Median / High Price $132.44 / $605.20 / $1,017.77	Facility		$132.44	$605.20	$1,017.77
Medcost Facility/Professional Professional Modifier Low / Median / High Price $507.71 / $507.71 / $507.71	Professional		$507.71	$507.71	$507.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $489.84 / $613.03 / $847.66	Professional		$489.84	$613.03	$847.66
United Facility/Professional Facility Modifier Low / Median / High Price $461.00 / $3,866.00 / $6,584.00	Facility		$461.00	$3,866.00	$6,584.00
United Facility/Professional Professional Modifier Low / Median / High Price $449.62 / $632.65 / $1,381.03	Professional		$449.62	$632.65	$1,381.03