Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $635.55 / $3,187.93 / $9,863.00	Facility		$635.55	$3,187.93	$9,863.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $397.23 / $565.66 / $1,109.33	Professional		$397.23	$565.66	$1,109.33
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $427.02 / $711.04 / $758.78	Professional		$427.02	$711.04	$758.78
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,125.00 / $4,443.07 / $8,995.79	Facility		$1,125.00	$4,443.07	$8,995.79
BCBS Facility/Professional Professional Modifier Low / Median / High Price $353.00 / $468.05 / $710.63	Professional		$353.00	$468.05	$710.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $375.00 / $715.88 / $834.39	Facility		$375.00	$715.88	$834.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $393.94 / $611.22 / $1,195.40	Professional		$393.94	$611.22	$1,195.40
Medcost Facility/Professional Facility Modifier Low / Median / High Price $403.00 / $592.46 / $1,014.44	Facility		$403.00	$592.46	$1,014.44
Medcost Facility/Professional Professional Modifier Low / Median / High Price $250.00 / $610.00 / $1,391.88	Professional		$250.00	$610.00	$1,391.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $36.83 / $427.85 / $761.51	Professional		$36.83	$427.85	$761.51
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 $443.17 / $574.98 / $1,113.15	Professional		$443.17	$574.98	$1,113.15