Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $4,897.79 / $16,595.87	Facility		$190.55	$4,897.79	$16,595.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $147.91 / $190.55	Professional		$117.49	$147.91	$190.55
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $162.18 / $162.18	Professional		$162.18	$162.18	$162.18
BCBS Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $724.44 / $1,380.38	Facility		$457.09	$724.44	$1,380.38
BCBS Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $162.18 / $229.09	Professional		$128.82	$162.18	$229.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $346.74 / $371.54	Facility		$346.74	$346.74	$371.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $177.83 / $269.15	Professional		$134.90	$177.83	$269.15
Medcost Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $245.47 / $245.47	Professional		$245.47	$245.47	$245.47
Medcost Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $173.78 / $251.19	Facility		$134.90	$173.78	$251.19
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 $380.19 / $1,230.27 / $3,548.13	Facility		$380.19	$1,230.27	$3,548.13
United Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $151.36 / $251.19	Professional		$114.82	$151.36	$251.19