Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $6,025.60 / $16,595.87	Facility		$257.04	$6,025.60	$16,595.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $190.55 / $363.08	Professional		$128.82	$190.55	$363.08
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $234.42 / $234.42	Professional		$234.42	$234.42	$234.42
BCBS Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $645.65 / $1,148.15	Facility		$363.08	$645.65	$1,148.15
BCBS Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $234.42 / $346.74	Professional		$128.82	$234.42	$346.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $218.78 / $309.03	Professional		$154.88	$218.78	$309.03
Medcost Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $295.12 / $295.12	Professional		$295.12	$295.12	$295.12
Medcost Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $223.87 / $338.84	Facility		$147.91	$223.87	$338.84
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 $138.04 / $194.98 / $338.84	Professional		$138.04	$194.98	$338.84