Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $201.94 / $516.32 / $9,062.00	Facility		$201.94	$516.32	$9,062.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.38 / $152.61 / $321.10	Professional		$71.38	$152.61	$321.10
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $94.23 / $120.48 / $121.16	Professional		$94.23	$120.48	$121.16
BCBS Facility/Professional Facility Modifier Low / Median / High Price $600.97 / $1,021.40 / $2,109.04	Facility		$600.97	$1,021.40	$2,109.04
BCBS Facility/Professional Professional Modifier Low / Median / High Price $70.00 / $140.40 / $232.18	Professional		$70.00	$140.40	$232.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $375.00 / $569.33 / $663.59	Facility		$375.00	$569.33	$663.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.04 / $205.56 / $414.13	Professional		$89.04	$205.56	$414.13
Medcost Facility/Professional Facility Modifier Low / Median / High Price $83.98 / $212.13 / $350.36	Facility		$83.98	$212.13	$350.36
Medcost Facility/Professional Professional Modifier Low / Median / High Price $105.05 / $253.68 / $566.69	Professional		$105.05	$253.68	$566.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $164.55 / $222.22 / $337.18	Professional		$164.55	$222.22	$337.18
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 $163.91 / $220.54 / $448.69	Professional		$163.91	$220.54	$448.69