Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $492.55 / $3,776.00 / $13,704.07	Facility		$492.55	$3,776.00	$13,704.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $167.87 / $453.18 / $928.71	Professional		$167.87	$453.18	$928.71
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $182.94 / $182.94 / $182.94	Professional		$182.94	$182.94	$182.94
BCBS Facility/Professional Facility Modifier Low / Median / High Price $593.00 / $3,970.86 / $8,048.23	Facility		$593.00	$3,970.86	$8,048.23
BCBS Facility/Professional Professional Modifier Low / Median / High Price $176.99 / $360.52 / $619.90	Professional		$176.99	$360.52	$619.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $375.00 / $440.00 / $1,842.86	Facility		$375.00	$440.00	$1,842.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $193.03 / $466.29 / $1,042.50	Professional		$193.03	$466.29	$1,042.50
Medcost Facility/Professional Facility Modifier Low / Median / High Price $208.27 / $539.05 / $941.81	Facility		$208.27	$539.05	$941.81
Medcost Facility/Professional Professional Modifier Low / Median / High Price $280.00 / $580.00 / $1,573.76	Professional		$280.00	$580.00	$1,573.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $34.27 / $483.29 / $791.60	Professional		$34.27	$483.29	$791.60
United Facility/Professional Facility Modifier Low / Median / High Price $791.00 / $10,147.00 / $16,772.00	Facility		$791.00	$10,147.00	$16,772.00
United Facility/Professional Professional Modifier Low / Median / High Price $444.05 / $586.67 / $1,093.28	Professional		$444.05	$586.67	$1,093.28