Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $219.78 / $2,838.14 / $9,062.00	Facility		$219.78	$2,838.14	$9,062.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $175.12 / $258.37 / $400.35	Professional		$175.12	$258.37	$400.35
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $108.10 / $115.73 / $188.30	Professional		$108.10	$115.73	$188.30
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,046.93 / $2,041.54 / $3,520.93	Facility		$1,046.93	$2,041.54	$3,520.93
BCBS Facility/Professional Professional Modifier Low / Median / High Price $179.65 / $250.95 / $343.66	Professional		$179.65	$250.95	$343.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $276.07 / $276.07 / $276.07	Facility		$276.07	$276.07	$276.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $176.37 / $254.32 / $375.65	Professional		$176.37	$254.32	$375.65
Medcost Facility/Professional Facility Modifier Low / Median / High Price $186.59 / $262.36 / $374.05	Facility		$186.59	$262.36	$374.05
Medcost Facility/Professional Professional Modifier Low / Median / High Price $278.83 / $278.83 / $278.83	Professional		$278.83	$278.83	$278.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $29.53 / $194.79 / $305.47	Professional		$29.53	$194.79	$305.47
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 $187.54 / $262.50 / $431.26	Professional		$187.54	$262.50	$431.26