Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $5,888.44 / $11,748.98	Facility		$128.82	$5,888.44	$11,748.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $117.49 / $309.03	Professional		$89.13	$117.49	$309.03
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $89.13 / $109.65	Professional		$37.15	$89.13	$109.65
BCBS Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $1,202.26 / $2,754.23	Facility		$169.82	$1,202.26	$2,754.23
BCBS Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $112.20 / $190.55	Professional		$81.28	$112.20	$190.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,000.00 / $1,288.25	Facility		$1,000.00	$1,000.00	$1,288.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $151.36 / $263.03	Professional		$131.83	$151.36	$263.03
Medcost Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $138.04 / $239.88	Facility		$100.00	$138.04	$239.88
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 $380.19 / $1,230.27 / $4,677.35	Facility		$380.19	$1,230.27	$4,677.35
United Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $131.83 / $234.42	Professional		$100.00	$131.83	$234.42