Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $4,897.79 / $9,772.37	Facility		$323.59	$4,897.79	$9,772.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $257.04 / $501.19	Professional		$173.78	$257.04	$501.19
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $251.19 / $251.19	Professional		$251.19	$251.19	$251.19
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $3,890.45 / $6,760.83	Facility		$2,137.96	$3,890.45	$6,760.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $295.12 / $426.58	Professional		$177.83	$295.12	$426.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $281.84 / $281.84	Facility		$281.84	$281.84	$281.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $281.84 / $398.11	Professional		$199.53	$281.84	$398.11
Medcost Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $371.54 / $371.54	Professional		$371.54	$371.54	$371.54
Medcost Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $288.40 / $436.52	Facility		$204.17	$288.40	$436.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $3,890.45 / $7,943.28	Facility		$1,122.02	$3,890.45	$7,943.28
United Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $251.19 / $436.52	Professional		$177.83	$251.19	$436.52