Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $141.15 / $1,871.45 / $8,995.00	Facility		$141.15	$1,871.45	$8,995.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.02 / $213.41 / $351.14	Professional		$109.02	$213.41	$351.14
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $101.45 / $101.45 / $101.45	Professional		$101.45	$101.45	$101.45
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,676.06 / $3,824.09 / $6,758.10	Facility		$1,676.06	$3,824.09	$6,758.10
BCBS Facility/Professional Professional Modifier Low / Median / High Price $92.63 / $220.00 / $439.62	Professional		$92.63	$220.00	$439.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $161.41 / $505.00 / $2,279.96	Facility		$161.41	$505.00	$2,279.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $151.31 / $249.70 / $432.01	Professional		$151.31	$249.70	$432.01
Medcost Facility/Professional Facility Modifier Low / Median / High Price $129.72 / $289.95 / $455.00	Facility		$129.72	$289.95	$455.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,747.48 / $1,747.48 / $1,747.48	Professional		$1,747.48	$1,747.48	$1,747.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $192.04 / $260.06 / $400.21	Professional		$192.04	$260.06	$400.21
United Facility/Professional Facility Modifier Low / Median / High Price $1,471.00 / $5,249.00 / $9,900.00	Facility		$1,471.00	$5,249.00	$9,900.00
United Facility/Professional Professional Modifier Low / Median / High Price $204.18 / $271.91 / $483.57	Professional		$204.18	$271.91	$483.57