Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $4,265.80 / $9,772.37	Facility		$616.60	$4,265.80	$9,772.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $338.84 / $616.60	Professional		$213.80	$338.84	$616.60
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $204.17 / $223.87	Professional		$204.17	$204.17	$223.87
BCBS Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $2,630.27 / $5,370.32	Facility		$794.33	$2,630.27	$5,370.32
BCBS Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $269.15 / $426.58	Professional		$151.36	$269.15	$426.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $426.58 / $1,023.29	Facility		$371.54	$426.58	$1,023.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $371.54 / $776.25	Professional		$229.09	$371.54	$776.25
Medcost Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $457.09 / $467.74	Professional		$457.09	$457.09	$467.74
Medcost Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $380.19 / $660.69	Facility		$239.88	$380.19	$660.69
Medcost Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $138.04 / $138.04	Professional		$138.04	$138.04	$138.04
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 $616.60 / $6,165.95 / $10,000.00	Facility		$616.60	$6,165.95	$10,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $316.23 / $524.81	Professional		$204.17	$316.23	$524.81