Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.05 / $1,247.00 / $6,491.72	Facility		$43.05	$1,247.00	$6,491.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.57 / $32.67 / $75.59	Professional		$15.57	$32.67	$75.59
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $28.10 / $35.06 / $39.17	Professional		$28.10	$35.06	$39.17
BCBS Facility/Professional Facility Modifier Low / Median / High Price $272.92 / $641.40 / $1,077.78	Facility		$272.92	$641.40	$1,077.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.04 / $45.00 / $58.43	Professional		$23.04	$45.00	$58.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.51 / $37.36 / $55.63	Professional		$22.51	$37.36	$55.63
Medcost Facility/Professional Facility Modifier Low / Median / High Price $25.96 / $40.39 / $51.66	Facility		$25.96	$40.39	$51.66
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $54.50 / $60.59 / $78.17	Facility	50	$54.50	$60.59	$78.17
Molina Facility/Professional Professional Modifier Low / Median / High Price $52.95 / $65.88 / $90.20	Professional		$52.95	$65.88	$90.20
United Facility/Professional Facility Modifier Low / Median / High Price $225.00 / $1,221.00 / $3,585.00	Facility		$225.00	$1,221.00	$3,585.00
United Facility/Professional Professional Modifier Low / Median / High Price $27.92 / $39.71 / $69.48	Professional		$27.92	$39.71	$69.48