Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $380.57 / $5,192.00 / $9,062.00	Facility		$380.57	$5,192.00	$9,062.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $321.13 / $465.36 / $834.15	Professional		$321.13	$465.36	$834.15
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $557.85 / $557.85 / $557.85	Professional		$557.85	$557.85	$557.85
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,543.78 / $3,784.76 / $6,934.12	Facility		$1,543.78	$3,784.76	$6,934.12
BCBS Facility/Professional Professional Modifier Low / Median / High Price $311.64 / $519.54 / $915.87	Professional		$311.64	$519.54	$915.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $901.20 / $901.20 / $1,158.06	Facility		$901.20	$901.20	$1,158.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $389.72 / $546.52 / $937.19	Professional		$389.72	$546.52	$937.19
Medcost Facility/Professional Facility Modifier Low / Median / High Price $377.26 / $522.35 / $824.91	Facility		$377.26	$522.35	$824.91
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $73.13 / $74.56 / $116.16	Facility	AS	$73.13	$74.56	$116.16
Medcost Facility/Professional Professional Modifier Low / Median / High Price $690.04 / $797.34 / $958.76	Professional		$690.04	$797.34	$958.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $36.91 / $333.36 / $615.75	Professional		$36.91	$333.36	$615.75
United Facility/Professional Facility Modifier Low / Median / High Price $659.00 / $6,607.00 / $8,667.00	Facility		$659.00	$6,607.00	$8,667.00
United Facility/Professional Professional Modifier Low / Median / High Price $423.30 / $622.71 / $1,079.68	Professional		$423.30	$622.71	$1,079.68