Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $212.07 / $4,230.00 / $9,727.00	Facility		$212.07	$4,230.00	$9,727.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $179.87 / $263.33 / $476.18	Professional		$179.87	$263.33	$476.18
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $96.15 / $96.15 / $96.15	Professional		$96.15	$96.15	$96.15
BCBS Facility/Professional Facility Modifier Low / Median / High Price $578.55 / $1,076.90 / $1,852.70	Facility		$578.55	$1,076.90	$1,852.70
BCBS Facility/Professional Professional Modifier Low / Median / High Price $178.89 / $244.63 / $379.11	Professional		$178.89	$244.63	$379.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,200.28 / $3,200.28 / $3,200.28	Facility		$3,200.28	$3,200.28	$3,200.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $213.49 / $302.31 / $420.33	Professional		$213.49	$302.31	$420.33
Medcost Facility/Professional Facility Modifier Low / Median / High Price $193.18 / $305.26 / $402.65	Facility		$193.18	$305.26	$402.65
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 $262.29 / $329.52 / $450.99	Professional		$262.29	$329.52	$450.99
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 $229.57 / $297.62 / $527.33	Professional		$229.57	$297.62	$527.33