Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $266.39 / $2,042.43 / $7,799.00	Facility		$266.39	$2,042.43	$7,799.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.01 / $192.86 / $792.20	Professional		$83.01	$192.86	$792.20
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $128.78 / $154.66 / $154.66	Professional		$128.78	$154.66	$154.66
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,177.00 / $2,795.31 / $4,709.47	Facility		$1,177.00	$2,795.31	$4,709.47
BCBS Facility/Professional Professional Modifier Low / Median / High Price $86.83 / $126.63 / $742.25	Professional		$86.83	$126.63	$742.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $158.18 / $570.00 / $1,438.20	Facility		$158.18	$570.00	$1,438.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $100.67 / $364.82 / $1,225.45	Professional		$100.67	$364.82	$1,225.45
Medcost Facility/Professional Facility Modifier Low / Median / High Price $109.97 / $224.38 / $1,096.00	Facility		$109.97	$224.38	$1,096.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $1,096.00 / $1,687.28	Professional		$85.00	$1,096.00	$1,687.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $575.81 / $759.21 / $1,134.49	Professional		$575.81	$759.21	$1,134.49
United Facility/Professional Facility Modifier Low / Median / High Price $659.00 / $6,607.00 / $8,667.00	Facility		$659.00	$6,607.00	$8,667.00
United Facility/Professional Professional Modifier Low / Median / High Price $494.71 / $691.84 / $1,276.72	Professional		$494.71	$691.84	$1,276.72