Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $182.14 / $1,418.83 / $9,062.00	Facility		$182.14	$1,418.83	$9,062.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.33 / $157.96 / $252.74	Professional		$69.33	$157.96	$252.74
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $69.25 / $69.25 / $69.25	Professional		$69.25	$69.25	$69.25
BCBS Facility/Professional Facility Modifier Low / Median / High Price $357.46 / $766.29 / $1,288.46	Facility		$357.46	$766.29	$1,288.46
BCBS Facility/Professional Professional Modifier Low / Median / High Price $64.42 / $130.21 / $200.98	Professional		$64.42	$130.21	$200.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $141.58 / $141.58 / $181.93	Facility		$141.58	$141.58	$181.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $84.42 / $179.82 / $324.75	Professional		$84.42	$179.82	$324.75
Medcost Facility/Professional Facility Modifier Low / Median / High Price $80.59 / $193.20 / $306.13	Facility		$80.59	$193.20	$306.13
Medcost Facility/Professional Professional Modifier Low / Median / High Price $125.25 / $129.79 / $188.79	Professional		$125.25	$129.79	$188.79
Molina Facility/Professional Professional Modifier Low / Median / High Price $109.73 / $149.65 / $230.16	Professional		$109.73	$149.65	$230.16
United Facility/Professional Facility Modifier Low / Median / High Price $461.00 / $3,866.00 / $6,584.00	Facility		$461.00	$3,866.00	$6,584.00
United Facility/Professional Professional Modifier Low / Median / High Price $148.41 / $246.99 / $420.21	Professional		$148.41	$246.99	$420.21