Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $167.21 / $8,783.00 / $16,639.00	Facility		$167.21	$8,783.00	$16,639.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $119.61 / $167.21 / $237.65	Professional		$119.61	$167.21	$237.65
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $121.51 / $121.51 / $121.51	Professional		$121.51	$121.51	$121.51
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,733.18 / $7,559.35 / $13,473.12	Facility		$2,733.18	$7,559.35	$13,473.12
BCBS Facility/Professional Professional Modifier Low / Median / High Price $111.10 / $244.00 / $429.03	Professional		$111.10	$244.00	$429.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $580.00 / $3,829.28 / $4,920.68	Facility		$580.00	$3,829.28	$4,920.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $143.51 / $191.21 / $308.62	Professional		$143.51	$191.21	$308.62
Medcost Facility/Professional Facility Modifier Low / Median / High Price $138.29 / $225.73 / $290.32	Facility		$138.29	$225.73	$290.32
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,648.42 / $3,388.00 / $3,821.93	Professional		$1,648.42	$3,388.00	$3,821.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $93.11 / $113.57 / $169.60	Professional		$93.11	$113.57	$169.60
United Facility/Professional Facility Modifier Low / Median / High Price $8,766.00 / $20,341.00 / $25,620.00	Facility		$8,766.00	$20,341.00	$25,620.00
United Facility/Professional Professional Modifier Low / Median / High Price $121.19 / $199.96 / $350.30	Professional		$121.19	$199.96	$350.30