Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $242.33 / $897.62 / $9,870.00	Facility		$242.33	$897.62	$9,870.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $219.67 / $326.29 / $523.28	Professional		$219.67	$326.29	$523.28
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $443.42 / $443.42 / $443.42	Professional		$443.42	$443.42	$443.42
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,153.88 / $4,914.85 / $9,289.04	Facility		$2,153.88	$4,914.85	$9,289.04
BCBS Facility/Professional Professional Modifier Low / Median / High Price $207.13 / $304.31 / $566.09	Professional		$207.13	$304.31	$566.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $505.00 / $1,956.98 / $2,514.75	Facility		$505.00	$1,956.98	$2,514.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $230.33 / $368.64 / $664.47	Professional		$230.33	$368.64	$664.47
Medcost Facility/Professional Facility Modifier Low / Median / High Price $242.33 / $378.06 / $609.53	Facility		$242.33	$378.06	$609.53
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,145.86 / $1,731.45 / $1,899.29	Professional		$1,145.86	$1,731.45	$1,899.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $34.44 / $301.24 / $503.59	Professional		$34.44	$301.24	$503.59
United Facility/Professional Facility Modifier Low / Median / High Price $791.00 / $10,257.00 / $16,249.00	Facility		$791.00	$10,257.00	$16,249.00
United Facility/Professional Professional Modifier Low / Median / High Price $304.91 / $411.76 / $850.67	Professional		$304.91	$411.76	$850.67