Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $6,025.60 / $16,595.87	Facility		$194.98	$6,025.60	$16,595.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $190.55 / $371.54	Professional		$95.50	$190.55	$371.54
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $81.28 / $81.28	Professional		$81.28	$81.28	$81.28
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $2,818.38 / $5,128.61	Facility		$1,698.24	$2,818.38	$5,128.61
BCBS Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $173.78 / $309.03	Professional		$89.13	$173.78	$309.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $165.96 / $891.25	Facility		$154.88	$165.96	$891.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $263.03 / $436.52	Professional		$151.36	$263.03	$436.52
Medcost Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $371.54 / $645.65	Professional		$371.54	$371.54	$645.65
Medcost Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $263.03 / $489.78	Facility		$114.82	$263.03	$489.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $33.11	Professional		$32.36	$33.11	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $6,760.83 / $10,000.00	Facility		$1,479.11	$6,760.83	$10,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $245.47 / $407.38	Professional		$144.54	$245.47	$407.38