Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $567.84 / $4,375.00 / $16,467.00	Facility		$567.84	$4,375.00	$16,467.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $459.68 / $507.99 / $633.87	Professional		$459.68	$507.99	$633.87
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $837.94 / $837.94 / $837.94	Professional		$837.94	$837.94	$837.94
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,623.07 / $4,545.93 / $8,045.04	Facility		$1,623.07	$4,545.93	$8,045.04
BCBS Facility/Professional Professional Modifier Low / Median / High Price $465.52 / $559.65 / $948.06	Professional		$465.52	$559.65	$948.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $375.00 / $570.63 / $1,370.63	Facility		$375.00	$570.63	$1,370.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $480.00 / $612.01 / $1,097.33	Professional		$480.00	$612.01	$1,097.33
Medcost Facility/Professional Facility Modifier Low / Median / High Price $509.00 / $638.00 / $1,059.97	Facility		$509.00	$638.00	$1,059.97
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,168.83 / $1,168.83 / $1,168.83	Professional		$1,168.83	$1,168.83	$1,168.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.30 / $380.33 / $685.14	Professional		$75.30	$380.33	$685.14
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 $392.00 / $505.25 / $1,135.46	Professional		$392.00	$505.25	$1,135.46