Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $160.84 / $4,230.00 / $9,870.00	Facility		$160.84	$4,230.00	$9,870.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $126.76 / $160.84 / $289.61	Professional		$126.76	$160.84	$289.61
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $70.13 / $70.13 / $70.13	Professional		$70.13	$70.13	$70.13
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,063.48 / $4,962.14 / $8,842.83	Facility		$2,063.48	$4,962.14	$8,842.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $130.47 / $261.00 / $458.92	Professional		$130.47	$261.00	$458.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $159.68 / $505.00 / $1,965.14	Facility		$159.68	$505.00	$1,965.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $189.03 / $266.23 / $367.50	Professional		$189.03	$266.23	$367.50
Medcost Facility/Professional Facility Modifier Low / Median / High Price $160.84 / $274.25 / $382.96	Facility		$160.84	$274.25	$382.96
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,606.69 / $1,606.69 / $1,606.69	Professional		$1,606.69	$1,606.69	$1,606.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $109.89 / $151.88 / $243.47	Professional		$109.89	$151.88	$243.47
United Facility/Professional Facility Modifier Low / Median / High Price $1,550.00 / $10,257.00 / $16,249.00	Facility		$1,550.00	$10,257.00	$16,249.00
United Facility/Professional Professional Modifier Low / Median / High Price $121.81 / $197.75 / $355.64	Professional		$121.81	$197.75	$355.64