Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $333.12 / $3,776.00 / $9,062.00	Facility		$333.12	$3,776.00	$9,062.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $122.12 / $281.77 / $516.95	Professional		$122.12	$281.77	$516.95
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $110.66 / $145.76 / $198.08	Professional		$110.66	$145.76	$198.08
BCBS Facility/Professional Facility Modifier Low / Median / High Price $589.00 / $1,764.70 / $3,576.63	Facility		$589.00	$1,764.70	$3,576.63
BCBS Facility/Professional Professional Modifier Low / Median / High Price $115.09 / $266.58 / $380.56	Professional		$115.09	$266.58	$380.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $360.00 / $425.00 / $834.39	Facility		$360.00	$425.00	$834.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $149.43 / $297.81 / $569.60	Professional		$149.43	$297.81	$569.60
Medcost Facility/Professional Facility Modifier Low / Median / High Price $140.94 / $341.32 / $524.48	Facility		$140.94	$341.32	$524.48
Medcost Facility/Professional Professional Modifier Low / Median / High Price $222.85 / $398.00 / $712.55	Professional		$222.85	$398.00	$712.55
Molina Facility/Professional Professional Modifier Low / Median / High Price $246.87 / $334.39 / $509.84	Professional		$246.87	$334.39	$509.84
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 $243.69 / $334.93 / $664.69	Professional		$243.69	$334.93	$664.69