Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $285.67 / $3,416.00 / $9,062.00	Facility		$285.67	$3,416.00	$9,062.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $164.65 / $244.14 / $430.81	Professional		$164.65	$244.14	$430.81
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $305.02 / $305.02 / $305.02	Professional		$305.02	$305.02	$305.02
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,802.54 / $3,770.53 / $6,589.99	Facility		$1,802.54	$3,770.53	$6,589.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $171.25 / $217.35 / $329.95	Professional		$171.25	$217.35	$329.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,158.06 / $1,158.06 / $1,158.06	Facility		$1,158.06	$1,158.06	$1,158.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $186.28 / $268.39 / $405.20	Professional		$186.28	$268.39	$405.20
Medcost Facility/Professional Facility Modifier Low / Median / High Price $177.00 / $258.74 / $373.55	Facility		$177.00	$258.74	$373.55
Medcost Facility/Professional Professional Modifier Low / Median / High Price $958.76 / $958.76 / $958.76	Professional		$958.76	$958.76	$958.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $172.51 / $234.45 / $315.80	Professional		$172.51	$234.45	$315.80
United Facility/Professional Facility Modifier Low / Median / High Price $1,192.52 / $5,871.00 / $8,667.00	Facility		$1,192.52	$5,871.00	$8,667.00
United Facility/Professional Professional Modifier Low / Median / High Price $210.05 / $259.02 / $427.38	Professional		$210.05	$259.02	$427.38