Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $200.34 / $3,776.00 / $17,697.00	Facility		$200.34	$3,776.00	$17,697.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $118.95 / $404.52 / $802.65	Professional		$118.95	$404.52	$802.65
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $241.09 / $241.09 / $241.09	Professional		$241.09	$241.09	$241.09
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,289.41 / $12,615.21 / $21,386.98	Facility		$5,289.41	$12,615.21	$21,386.98
BCBS Facility/Professional Professional Modifier Low / Median / High Price $140.63 / $314.89 / $690.00	Professional		$140.63	$314.89	$690.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $39,014.00 / $39,014.00 / $39,014.00	Facility		$39,014.00	$39,014.00	$39,014.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $161.16 / $411.18 / $1,256.16	Professional		$161.16	$411.18	$1,256.16
Medcost Facility/Professional Facility Modifier Low / Median / High Price $170.29 / $669.42 / $1,356.18	Facility		$170.29	$669.42	$1,356.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $468.34 / $594.20 / $894.41	Professional		$468.34	$594.20	$894.41
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 $674.04 / $979.58 / $1,608.39	Professional		$674.04	$979.58	$1,608.39