Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $199.51 / $1,052.72 / $9,062.00	Facility		$199.51	$1,052.72	$9,062.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $165.75 / $260.47 / $554.29	Professional		$165.75	$260.47	$554.29
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $239.34 / $239.34 / $239.34	Professional		$239.34	$239.34	$239.34
BCBS Facility/Professional Facility Modifier Low / Median / High Price $603.46 / $1,368.41 / $3,438.91	Facility		$603.46	$1,368.41	$3,438.91
BCBS Facility/Professional Professional Modifier Low / Median / High Price $157.21 / $408.00 / $560.87	Professional		$157.21	$408.00	$560.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $375.00 / $570.00 / $1,139.16	Facility		$375.00	$570.00	$1,139.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $200.29 / $363.02 / $858.91	Professional		$200.29	$363.02	$858.91
Medcost Facility/Professional Facility Modifier Low / Median / High Price $199.51 / $298.45 / $714.34	Facility		$199.51	$298.45	$714.34
Medcost Facility/Professional Professional Modifier Low / Median / High Price $240.00 / $534.00 / $1,084.60	Professional		$240.00	$534.00	$1,084.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $356.60 / $483.25 / $737.35	Professional		$356.60	$483.25	$737.35
United Facility/Professional Facility Modifier Low / Median / High Price $586.00 / $6,172.00 / $8,667.00	Facility		$586.00	$6,172.00	$8,667.00
United Facility/Professional Professional Modifier Low / Median / High Price $220.01 / $409.73 / $856.90	Professional		$220.01	$409.73	$856.90