Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $638.79 / $9,062.00 / $18,276.00	Facility		$638.79	$9,062.00	$18,276.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $492.80 / $589.20 / $977.83	Professional		$492.80	$589.20	$977.83
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $561.10 / $561.10 / $561.10	Professional		$561.10	$561.10	$561.10
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,017.63 / $5,096.67 / $8,705.65	Facility		$2,017.63	$5,096.67	$8,705.65
BCBS Facility/Professional Professional Modifier Low / Median / High Price $521.95 / $620.99 / $1,004.98	Professional		$521.95	$620.99	$1,004.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $637.95 / $715.00 / $2,581.96	Facility		$637.95	$715.00	$2,581.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $529.76 / $684.34 / $1,234.46	Professional		$529.76	$684.34	$1,234.46
Medcost Facility/Professional Facility Modifier Low / Median / High Price $579.38 / $724.00 / $1,212.49	Facility		$579.38	$724.00	$1,212.49
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,144.91 / $2,144.91 / $2,144.91	Professional		$2,144.91	$2,144.91	$2,144.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.30 / $415.09 / $760.98	Professional		$75.30	$415.09	$760.98
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 $446.88 / $584.91 / $1,269.76	Professional		$446.88	$584.91	$1,269.76