Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $282.97 / $5,192.00 / $9,396.79	Facility		$282.97	$5,192.00	$9,396.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $244.16 / $362.86 / $525.75	Professional		$244.16	$362.86	$525.75
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $216.21 / $216.21 / $259.70	Professional		$216.21	$216.21	$259.70
BCBS Facility/Professional Facility Modifier Low / Median / High Price $584.09 / $1,076.90 / $1,852.70	Facility		$584.09	$1,076.90	$1,852.70
BCBS Facility/Professional Professional Modifier Low / Median / High Price $238.00 / $288.26 / $447.43	Professional		$238.00	$288.26	$447.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $536.76 / $536.76 / $536.76	Facility		$536.76	$536.76	$536.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $261.95 / $371.91 / $533.37	Professional		$261.95	$371.91	$533.37
Medcost Facility/Professional Facility Modifier Low / Median / High Price $255.28 / $392.23 / $531.01	Facility		$255.28	$392.23	$531.01
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $51.32 / $54.91 / $76.88	Facility	AS	$51.32	$54.91	$76.88
Medcost Facility/Professional Professional Modifier Low / Median / High Price $427.30 / $427.30 / $427.30	Professional		$427.30	$427.30	$427.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $338.34 / $428.74 / $588.54	Professional		$338.34	$428.74	$588.54
United Facility/Professional Facility Modifier Low / Median / High Price $225.00 / $1,221.00 / $3,585.00	Facility		$225.00	$1,221.00	$3,585.00
United Facility/Professional Professional Modifier Low / Median / High Price $291.24 / $383.51 / $783.83	Professional		$291.24	$383.51	$783.83