Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $560.03 / $3,776.00 / $9,727.00	Facility		$560.03	$3,776.00	$9,727.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $419.14 / $508.61 / $623.10	Professional		$419.14	$508.61	$623.10
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $294.14 / $294.14 / $294.14	Professional		$294.14	$294.14	$294.14
BCBS Facility/Professional Facility Modifier Low / Median / High Price $208.64 / $438.34 / $728.95	Facility		$208.64	$438.34	$728.95
BCBS Facility/Professional Professional Modifier Low / Median / High Price $482.86 / $537.64 / $917.82	Professional		$482.86	$537.64	$917.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $210.80 / $375.00 / $834.70	Facility		$210.80	$375.00	$834.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $512.04 / $646.20 / $1,155.75	Professional		$512.04	$646.20	$1,155.75
Medcost Facility/Professional Facility Modifier Low / Median / High Price $508.61 / $660.00 / $1,052.81	Facility		$508.61	$660.00	$1,052.81
Medcost Facility/Professional Professional Modifier Low / Median / High Price $168.16 / $168.16 / $168.16	Professional		$168.16	$168.16	$168.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $69.90 / $303.81 / $706.91	Professional		$69.90	$303.81	$706.91
United Facility/Professional Facility Modifier Low / Median / High Price $225.00 / $1,221.00 / $3,585.00	Facility		$225.00	$1,221.00	$3,585.00
United Facility/Professional Professional Modifier Low / Median / High Price $416.42 / $557.77 / $1,197.08	Professional		$416.42	$557.77	$1,197.08