Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $161.61 / $2,685.00 / $9,727.00	Facility		$161.61	$2,685.00	$9,727.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $135.72 / $211.07 / $349.97	Professional		$135.72	$211.07	$349.97
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $208.49 / $208.49 / $208.49	Professional		$208.49	$208.49	$208.49
BCBS Facility/Professional Facility Modifier Low / Median / High Price $615.26 / $1,093.77 / $1,765.12	Facility		$615.26	$1,093.77	$1,765.12
BCBS Facility/Professional Professional Modifier Low / Median / High Price $142.00 / $208.49 / $290.00	Professional		$142.00	$208.49	$290.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $240.10 / $240.10 / $240.10	Facility		$240.10	$240.10	$240.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $140.38 / $202.68 / $304.41	Professional		$140.38	$202.68	$304.41
Medcost Facility/Professional Facility Modifier Low / Median / High Price $144.26 / $218.32 / $304.63	Facility		$144.26	$218.32	$304.63
Medcost Facility/Professional Professional Modifier Low / Median / High Price $245.54 / $245.54 / $245.54	Professional		$245.54	$245.54	$245.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $172.51 / $214.72 / $280.20	Professional		$172.51	$214.72	$280.20
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 $167.07 / $218.73 / $382.78	Professional		$167.07	$218.73	$382.78