Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $167.53 / $2,452.30 / $9,062.00	Facility		$167.53	$2,452.30	$9,062.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $68.02 / $265.58 / $494.92	Professional		$68.02	$265.58	$494.92
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $59.92 / $59.92 / $59.92	Professional		$59.92	$59.92	$59.92
BCBS Facility/Professional Facility Modifier Low / Median / High Price $398.51 / $4,201.38 / $8,677.70	Facility		$398.51	$4,201.38	$8,677.70
BCBS Facility/Professional Professional Modifier Low / Median / High Price $67.91 / $186.68 / $446.64	Professional		$67.91	$186.68	$446.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.81 / $233.43 / $730.59	Professional		$93.81	$233.43	$730.59
Medcost Facility/Professional Facility Modifier Low / Median / High Price $82.48 / $490.38 / $755.63	Facility		$82.48	$490.38	$755.63
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,569.23 / $1,569.23 / $1,569.23	Professional		$1,569.23	$1,569.23	$1,569.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $307.85 / $421.86 / $635.27	Professional		$307.85	$421.86	$635.27
United Facility/Professional Facility Modifier Low / Median / High Price $5,114.00 / $12,798.00 / $19,591.00	Facility		$5,114.00	$12,798.00	$19,591.00
United Facility/Professional Professional Modifier Low / Median / High Price $356.96 / $495.77 / $838.37	Professional		$356.96	$495.77	$838.37