Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $747.69 / $3,667.46 / $13,522.00	Facility		$747.69	$3,667.46	$13,522.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $671.03 / $824.54 / $1,260.41	Professional		$671.03	$824.54	$1,260.41
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $688.12 / $688.12 / $688.12	Professional		$688.12	$688.12	$688.12
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,276.66 / $5,120.34 / $8,981.33	Facility		$2,276.66	$5,120.34	$8,981.33
BCBS Facility/Professional Professional Modifier Low / Median / High Price $640.11 / $808.00 / $1,237.05	Professional		$640.11	$808.00	$1,237.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $505.00 / $505.00 / $3,200.28	Facility		$505.00	$505.00	$3,200.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $679.22 / $915.28 / $1,172.40	Professional		$679.22	$915.28	$1,172.40
Medcost Facility/Professional Facility Modifier Low / Median / High Price $671.03 / $894.00 / $1,219.92	Facility		$671.03	$894.00	$1,219.92
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,872.87 / $2,872.87 / $2,872.87	Professional		$2,872.87	$2,872.87	$2,872.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $65.88 / $548.43 / $914.01	Professional		$65.88	$548.43	$914.01
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $12,798.00 / $19,665.00	Facility		$2,155.00	$12,798.00	$19,665.00
United Facility/Professional Professional Modifier Low / Median / High Price $622.94 / $815.01 / $1,426.27	Professional		$622.94	$815.01	$1,426.27