Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $254.75 / $3,416.00 / $9,062.00	Facility		$254.75	$3,416.00	$9,062.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $159.80 / $209.34 / $349.44	Professional		$159.80	$209.34	$349.44
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $92.82 / $234.78 / $234.78	Professional		$92.82	$234.78	$234.78
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,806.21 / $3,767.07 / $6,557.92	Facility		$1,806.21	$3,767.07	$6,557.92
BCBS Facility/Professional Professional Modifier Low / Median / High Price $165.00 / $218.40 / $316.69	Professional		$165.00	$218.40	$316.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $505.00 / $505.00 / $1,158.06	Facility		$505.00	$505.00	$1,158.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $172.86 / $230.91 / $310.29	Professional		$172.86	$230.91	$310.29
Medcost Facility/Professional Facility Modifier Low / Median / High Price $172.18 / $232.12 / $315.49	Facility		$172.18	$232.12	$315.49
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 $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 $181.62 / $224.18 / $437.50	Professional		$181.62	$224.18	$437.50