Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $502.27 / $5,192.00 / $10,722.70	Facility		$502.27	$5,192.00	$10,722.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $309.79 / $493.00 / $837.25	Professional		$309.79	$493.00	$837.25
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $345.31 / $345.31 / $345.31	Professional		$345.31	$345.31	$345.31
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,543.78 / $4,597.75 / $8,473.82	Facility		$1,543.78	$4,597.75	$8,473.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $304.00 / $393.47 / $680.48	Professional		$304.00	$393.47	$680.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $505.00 / $569.77 / $1,158.06	Facility		$505.00	$569.77	$1,158.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $367.01 / $612.08 / $1,008.13	Professional		$367.01	$612.08	$1,008.13
Medcost Facility/Professional Facility Modifier Low / Median / High Price $371.75 / $645.00 / $1,021.70	Facility		$371.75	$645.00	$1,021.70
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 $36.68 / $390.73 / $735.91	Professional		$36.68	$390.73	$735.91
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 $440.01 / $616.01 / $1,236.18	Professional		$440.01	$616.01	$1,236.18