Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $3,801.89 / $9,120.11	Facility		$537.03	$3,801.89	$9,120.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $223.87 / $537.03	Professional		$107.15	$223.87	$537.03
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $112.20 / $309.03	Professional		$91.20	$112.20	$309.03
BCBS Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $1,584.89 / $3,162.28	Facility		$660.69	$1,584.89	$3,162.28
BCBS Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $123.03 / $239.88	Professional		$85.11	$123.03	$239.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $416.87 / $870.96	Facility		$181.97	$416.87	$870.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $213.80 / $478.63	Professional		$117.49	$213.80	$478.63
Medcost Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $257.04 / $263.03	Professional		$257.04	$257.04	$263.03
Medcost Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $213.80 / $380.19	Facility		$114.82	$213.80	$380.19
Medcost Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $75.86 / $75.86	Professional		$75.86	$75.86	$75.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $6,309.57 / $10,000.00	Facility		$616.60	$6,309.57	$10,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $181.97 / $309.03	Professional		$97.72	$181.97	$309.03