Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $3,715.35 / $9,772.37	Facility		$204.17	$3,715.35	$9,772.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $204.17 / $436.52	Professional		$72.44	$204.17	$436.52
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $83.18 / $512.86	Professional		$83.18	$83.18	$512.86
BCBS Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $1,318.26 / $2,344.23	Facility		$741.31	$1,318.26	$2,344.23
BCBS Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $89.13 / $316.23	Professional		$63.10	$89.13	$316.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $275.42 / $575.44	Facility		$128.82	$275.42	$575.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $213.80 / $537.03	Professional		$69.18	$213.80	$537.03
Medcost Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $263.03 / $263.03	Professional		$263.03	$263.03	$263.03
Medcost Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $190.55 / $457.09	Facility		$74.13	$190.55	$457.09
Medcost Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $54.95 / $54.95	Professional		$54.95	$54.95	$54.95
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 $66.07 / $169.82 / $338.84	Professional		$66.07	$169.82	$338.84