Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $376.46 / $5,192.00 / $9,062.00	Facility		$376.46	$5,192.00	$9,062.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $136.40 / $287.13 / $978.07	Professional		$136.40	$287.13	$978.07
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $130.03 / $130.03 / $130.03	Professional		$130.03	$130.03	$130.03
BCBS Facility/Professional Facility Modifier Low / Median / High Price $333.30 / $4,911.93 / $9,170.06	Facility		$333.30	$4,911.93	$9,170.06
BCBS Facility/Professional Professional Modifier Low / Median / High Price $132.00 / $363.60 / $722.81	Professional		$132.00	$363.60	$722.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $167.83 / $337.39 / $1,118.90	Professional		$167.83	$337.39	$1,118.90
Medcost Facility/Professional Facility Modifier Low / Median / High Price $179.79 / $406.00 / $1,240.01	Facility		$179.79	$406.00	$1,240.01
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $375.00 / $609.00 / $1,930.62	Facility	50	$375.00	$609.00	$1,930.62
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,195.16 / $2,195.16 / $2,195.16	Professional		$2,195.16	$2,195.16	$2,195.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $436.50 / $596.08 / $909.20	Professional		$436.50	$596.08	$909.20
United Facility/Professional Facility Modifier Low / Median / High Price $358.00 / $1,221.00 / $3,585.00	Facility		$358.00	$1,221.00	$3,585.00
United Facility/Professional Professional Modifier Low / Median / High Price $554.72 / $788.77 / $1,373.85	Professional		$554.72	$788.77	$1,373.85