Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $208.74 / $1,871.45 / $9,062.00	Facility		$208.74	$1,871.45	$9,062.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.74 / $171.99 / $291.68	Professional		$131.74	$171.99	$291.68
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $96.72 / $124.34 / $160.02	Professional		$96.72	$124.34	$160.02
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,046.31 / $2,033.98 / $3,486.32	Facility		$1,046.31	$2,033.98	$3,486.32
BCBS Facility/Professional Professional Modifier Low / Median / High Price $105.00 / $154.13 / $240.47	Professional		$105.00	$154.13	$240.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $201.50 / $201.50 / $201.50	Facility		$201.50	$201.50	$201.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $139.13 / $188.93 / $259.95	Professional		$139.13	$188.93	$259.95
Medcost Facility/Professional Facility Modifier Low / Median / High Price $139.01 / $188.06 / $258.73	Facility		$139.01	$188.06	$258.73
Medcost Facility/Professional Professional Modifier Low / Median / High Price $204.61 / $204.61 / $204.61	Professional		$204.61	$204.61	$204.61
Molina Facility/Professional Professional Modifier Low / Median / High Price $120.94 / $162.87 / $231.82	Professional		$120.94	$162.87	$231.82
United Facility/Professional Facility Modifier Low / Median / High Price $461.00 / $3,866.00 / $6,584.00	Facility		$461.00	$3,866.00	$6,584.00
United Facility/Professional Professional Modifier Low / Median / High Price $138.69 / $181.23 / $317.14	Professional		$138.69	$181.23	$317.14