Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $5,495.41 / $12,589.25	Facility		$354.81	$5,495.41	$12,589.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $316.23 / $630.96	Professional		$245.47	$316.23	$630.96
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $234.42 / $257.04	Professional		$234.42	$234.42	$257.04
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $4,786.30 / $10,000.00	Facility		$1,905.46	$4,786.30	$10,000.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $309.03 / $512.86	Professional		$239.88	$309.03	$512.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $707.95 / $3,715.35	Facility		$457.09	$707.95	$3,715.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $354.81 / $724.44	Professional		$263.03	$354.81	$724.44
Medcost Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $389.05 / $416.87	Professional		$389.05	$389.05	$416.87
Medcost Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $363.08 / $575.44	Facility		$263.03	$363.08	$575.44
Medcost Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $316.23 / $316.23	Professional		$316.23	$316.23	$316.23
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 $933.25 / $10,232.93 / $17,378.01	Facility		$933.25	$10,232.93	$17,378.01
United Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $288.40 / $501.19	Professional		$223.87	$288.40	$501.19