Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $184.63 / $3,776.00 / $9,727.00	Facility		$184.63	$3,776.00	$9,727.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $132.34 / $297.08 / $526.95	Professional		$132.34	$297.08	$526.95
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $480.83 / $480.83 / $480.83	Professional		$480.83	$480.83	$480.83
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,344.35 / $6,259.08 / $10,885.40	Facility		$2,344.35	$6,259.08	$10,885.40
BCBS Facility/Professional Professional Modifier Low / Median / High Price $129.79 / $268.62 / $498.53	Professional		$129.79	$268.62	$498.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $187.29 / $358.32 / $569.22	Professional		$187.29	$358.32	$569.22
Medcost Facility/Professional Facility Modifier Low / Median / High Price $184.63 / $408.60 / $699.94	Facility		$184.63	$408.60	$699.94
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,204.86 / $1,204.86 / $1,204.86	Professional		$1,204.86	$1,204.86	$1,204.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $294.30 / $375.66 / $570.61	Professional		$294.30	$375.66	$570.61
United Facility/Professional Facility Modifier Low / Median / High Price $225.00 / $1,221.00 / $3,585.00	Facility		$225.00	$1,221.00	$3,585.00
United Facility/Professional Professional Modifier Low / Median / High Price $307.35 / $450.47 / $888.40	Professional		$307.35	$450.47	$888.40