Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $271.83 / $4,230.00 / $9,062.00	Facility		$271.83	$4,230.00	$9,062.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $118.07 / $220.37 / $366.16	Professional		$118.07	$220.37	$366.16
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $133.04 / $221.53 / $387.02	Professional		$133.04	$221.53	$387.02
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,046.31 / $2,033.98 / $3,427.45	Facility		$1,046.31	$2,033.98	$3,427.45
BCBS Facility/Professional Professional Modifier Low / Median / High Price $129.00 / $169.16 / $307.41	Professional		$129.00	$169.16	$307.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $224.98 / $259.14 / $580.00	Facility		$224.98	$259.14	$580.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $152.93 / $267.08 / $442.02	Professional		$152.93	$267.08	$442.02
Medcost Facility/Professional Facility Modifier Low / Median / High Price $152.00 / $285.24 / $510.89	Facility		$152.00	$285.24	$510.89
Medcost Facility/Professional Professional Modifier Low / Median / High Price $273.91 / $273.91 / $273.91	Professional		$273.91	$273.91	$273.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $180.50 / $240.57 / $374.49	Professional		$180.50	$240.57	$374.49
United Facility/Professional Facility Modifier Low / Median / High Price $490.00 / $3,682.00 / $7,558.00	Facility		$490.00	$3,682.00	$7,558.00
United Facility/Professional Professional Modifier Low / Median / High Price $206.18 / $267.93 / $532.73	Professional		$206.18	$267.93	$532.73