Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $221.11 / $4,230.00 / $11,820.84	Facility		$221.11	$4,230.00	$11,820.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $140.69 / $184.66 / $337.72	Professional		$140.69	$184.66	$337.72
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $80.04 / $80.04 / $80.04	Professional		$80.04	$80.04	$80.04
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,522.63 / $3,645.40 / $6,566.66	Facility		$1,522.63	$3,645.40	$6,566.66
BCBS Facility/Professional Professional Modifier Low / Median / High Price $101.00 / $162.00 / $257.52	Professional		$101.00	$162.00	$257.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $204.67 / $204.67 / $204.67	Facility		$204.67	$204.67	$204.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $150.00 / $200.56 / $269.44	Professional		$150.00	$200.56	$269.44
Medcost Facility/Professional Facility Modifier Low / Median / High Price $148.96 / $199.00 / $284.02	Facility		$148.96	$199.00	$284.02
Medcost Facility/Professional Professional Modifier Low / Median / High Price $205.71 / $205.71 / $205.71	Professional		$205.71	$205.71	$205.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $144.50 / $184.50 / $238.17	Professional		$144.50	$184.50	$238.17
United Facility/Professional Facility Modifier Low / Median / High Price $659.00 / $6,607.00 / $8,667.00	Facility		$659.00	$6,607.00	$8,667.00
United Facility/Professional Professional Modifier Low / Median / High Price $148.22 / $194.23 / $309.13	Professional		$148.22	$194.23	$309.13