Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $246.78 / $4,862.00 / $9,296.79	Facility		$246.78	$4,862.00	$9,296.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $160.59 / $208.74 / $373.24	Professional		$160.59	$208.74	$373.24
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $189.96 / $189.96 / $189.96	Professional		$189.96	$189.96	$189.96
BCBS Facility/Professional Facility Modifier Low / Median / High Price $930.20 / $2,006.90 / $3,374.48	Facility		$930.20	$2,006.90	$3,374.48
BCBS Facility/Professional Professional Modifier Low / Median / High Price $158.00 / $208.74 / $314.00	Professional		$158.00	$208.74	$314.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $222.66 / $222.66 / $222.66	Facility		$222.66	$222.66	$222.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $172.16 / $231.49 / $300.22	Professional		$172.16	$231.49	$300.22
Medcost Facility/Professional Facility Modifier Low / Median / High Price $172.90 / $227.00 / $315.64	Facility		$172.90	$227.00	$315.64
Medcost Facility/Professional Professional Modifier Low / Median / High Price $225.35 / $225.35 / $225.35	Professional		$225.35	$225.35	$225.35
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 $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 $162.94 / $215.72 / $377.51	Professional		$162.94	$215.72	$377.51