Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $146.72 / $3,776.00 / $22,275.74	Facility		$146.72	$3,776.00	$22,275.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.54 / $104.26 / $213.31	Professional		$46.54	$104.26	$213.31
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $24.17 / $24.17 / $80.48	Professional		$24.17	$24.17	$80.48
BCBS Facility/Professional Facility Modifier Low / Median / High Price $733.02 / $1,353.73 / $2,270.56	Facility		$733.02	$1,353.73	$2,270.56
BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.18 / $79.20 / $138.00	Professional		$45.18	$79.20	$138.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $107.92 / $125.79 / $560.00	Facility		$107.92	$125.79	$560.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.46 / $107.35 / $262.76	Professional		$49.46	$107.35	$262.76
Medcost Facility/Professional Facility Modifier Low / Median / High Price $51.30 / $97.00 / $222.43	Facility		$51.30	$97.00	$222.43
Medcost Facility/Professional Professional Modifier Low / Median / High Price $57.75 / $107.41 / $308.89	Professional		$57.75	$107.41	$308.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $109.73 / $148.85 / $227.51	Professional		$109.73	$148.85	$227.51
United Facility/Professional Facility Modifier Low / Median / High Price $454.00 / $3,866.00 / $6,344.00	Facility		$454.00	$3,866.00	$6,344.00
United Facility/Professional Professional Modifier Low / Median / High Price $97.82 / $131.46 / $289.22	Professional		$97.82	$131.46	$289.22