Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $357.98 / $4,785.01 / $12,652.18	Facility		$357.98	$4,785.01	$12,652.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $240.94 / $294.95 / $515.20	Professional		$240.94	$294.95	$515.20
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $326.12 / $326.12 / $326.12	Professional		$326.12	$326.12	$326.12
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,775.19 / $4,943.77 / $8,842.83	Facility		$1,775.19	$4,943.77	$8,842.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $260.83 / $307.83 / $450.45	Professional		$260.83	$307.83	$450.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $505.00 / $505.00 / $1,965.14	Facility		$505.00	$505.00	$1,965.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $256.63 / $338.40 / $461.97	Professional		$256.63	$338.40	$461.97
Medcost Facility/Professional Facility Modifier Low / Median / High Price $264.66 / $330.21 / $471.03	Facility		$264.66	$330.21	$471.03
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,606.69 / $1,606.69 / $1,606.69	Professional		$1,606.69	$1,606.69	$1,606.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $29.53 / $256.69 / $385.73	Professional		$29.53	$256.69	$385.73
United Facility/Professional Facility Modifier Low / Median / High Price $791.00 / $10,257.00 / $16,249.00	Facility		$791.00	$10,257.00	$16,249.00
United Facility/Professional Professional Modifier Low / Median / High Price $243.28 / $322.00 / $531.29	Professional		$243.28	$322.00	$531.29