Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $583.04 / $4,673.00 / $9,062.00	Facility		$583.04	$4,673.00	$9,062.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $216.28 / $704.95 / $1,755.26	Professional		$216.28	$704.95	$1,755.26
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $104.94 / $104.94 / $209.88	Professional		$104.94	$104.94	$209.88
BCBS Facility/Professional Facility Modifier Low / Median / High Price $639.04 / $639.04 / $639.04	Facility		$639.04	$639.04	$639.04
BCBS Facility/Professional Professional Modifier Low / Median / High Price $203.05 / $458.40 / $1,171.35	Professional		$203.05	$458.40	$1,171.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $260.47 / $517.11 / $1,953.23	Professional		$260.47	$517.11	$1,953.23
Medcost Facility/Professional Facility Modifier Low / Median / High Price $276.77 / $536.24 / $2,188.41	Facility		$276.77	$536.24	$2,188.41
Medcost Facility/Professional Professional Modifier Low / Median / High Price $3,805.05 / $3,805.05 / $3,805.05	Professional		$3,805.05	$3,805.05	$3,805.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $772.59 / $1,048.79 / $1,609.41	Professional		$772.59	$1,048.79	$1,609.41
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 $999.11 / $1,376.94 / $2,511.46	Professional		$999.11	$1,376.94	$2,511.46