Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $184.17 / $4,230.00 / $9,727.00	Facility		$184.17	$4,230.00	$9,727.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $156.16 / $269.57 / $381.30	Professional		$156.16	$269.57	$381.30
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $161.22 / $161.22 / $161.22	Professional		$161.22	$161.22	$161.22
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,771.10 / $4,434.97 / $7,645.00	Facility		$1,771.10	$4,434.97	$7,645.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $127.00 / $183.85 / $337.08	Professional		$127.00	$183.85	$337.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $272.08 / $505.00 / $1,158.06	Facility		$272.08	$505.00	$1,158.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $177.22 / $297.74 / $551.03	Professional		$177.22	$297.74	$551.03
Medcost Facility/Professional Facility Modifier Low / Median / High Price $175.20 / $318.47 / $532.70	Facility		$175.20	$318.47	$532.70
Medcost Facility/Professional Professional Modifier Low / Median / High Price $958.76 / $958.76 / $958.76	Professional		$958.76	$958.76	$958.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $34.26 / $246.87 / $424.91	Professional		$34.26	$246.87	$424.91
United Facility/Professional Facility Modifier Low / Median / High Price $729.00 / $6,607.00 / $8,667.00	Facility		$729.00	$6,607.00	$8,667.00
United Facility/Professional Professional Modifier Low / Median / High Price $233.13 / $312.22 / $679.27	Professional		$233.13	$312.22	$679.27