Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $5,370.32 / $13,182.57	Facility		$549.54	$5,370.32	$13,182.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $389.05 / $812.83	Professional		$218.78	$389.05	$812.83
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $371.54 / $537.03	Professional		$269.15	$371.54	$537.03
BCBS Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $1,096.48 / $1,862.09	Facility		$588.84	$1,096.48	$1,862.09
BCBS Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $346.74 / $501.19	Professional		$213.80	$346.74	$501.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $575.44 / $575.44	Facility		$575.44	$575.44	$575.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $380.19 / $602.56	Professional		$269.15	$380.19	$602.56
Medcost Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $537.03 / $537.03	Professional		$537.03	$537.03	$537.03
Medcost Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $380.19 / $575.44	Facility		$239.88	$380.19	$575.44
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 $218.78 / $331.13 / $549.54	Professional		$218.78	$331.13	$549.54