Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $323.18 / $6,673.80 / $11,018.00	Facility		$323.18	$6,673.80	$11,018.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $110.50 / $141.55 / $268.23	Professional		$110.50	$141.55	$268.23
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $195.38 / $195.38 / $195.38	Professional		$195.38	$195.38	$195.38
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,516.47 / $3,829.06 / $6,798.35	Facility		$1,516.47	$3,829.06	$6,798.35
BCBS Facility/Professional Professional Modifier Low / Median / High Price $102.00 / $122.40 / $181.43	Professional		$102.00	$122.40	$181.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,774.26 / $1,774.26 / $2,279.96	Facility		$1,774.26	$1,774.26	$2,279.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $124.94 / $164.23 / $301.39	Professional		$124.94	$164.23	$301.39
Medcost Facility/Professional Facility Modifier Low / Median / High Price $116.24 / $167.00 / $261.55	Facility		$116.24	$167.00	$261.55
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,107.11 / $1,569.80 / $1,747.48	Professional		$1,107.11	$1,569.80	$1,747.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $82.31 / $112.28 / $174.46	Professional		$82.31	$112.28	$174.46
United Facility/Professional Facility Modifier Low / Median / High Price $791.00 / $10,257.00 / $16,249.00	Facility		$791.00	$10,257.00	$16,249.00
United Facility/Professional Professional Modifier Low / Median / High Price $111.89 / $156.56 / $311.04	Professional		$111.89	$156.56	$311.04