Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $386.88 / $4,230.00 / $9,727.00	Facility		$386.88	$4,230.00	$9,727.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $345.25 / $587.60 / $1,022.81	Professional		$345.25	$587.60	$1,022.81
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $309.55 / $563.38 / $563.38	Professional		$309.55	$563.38	$563.38
BCBS Facility/Professional Facility Modifier Low / Median / High Price $585.37 / $1,094.92 / $1,891.11	Facility		$585.37	$1,094.92	$1,891.11
BCBS Facility/Professional Professional Modifier Low / Median / High Price $348.51 / $643.65 / $814.80	Professional		$348.51	$643.65	$814.80
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 $362.12 / $607.40 / $897.03	Professional		$362.12	$607.40	$897.03
Medcost Facility/Professional Facility Modifier Low / Median / High Price $347.76 / $686.31 / $870.86	Facility		$347.76	$686.31	$870.86
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 $539.69 / $687.45 / $945.50	Professional		$539.69	$687.45	$945.50
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 $477.47 / $631.67 / $1,201.05	Professional		$477.47	$631.67	$1,201.05