Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $386.43 / $2,477.83 / $7,799.00	Facility		$386.43	$2,477.83	$7,799.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $133.36 / $386.43 / $1,178.07	Professional		$133.36	$386.43	$1,178.07
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $134.68 / $134.68 / $134.68	Professional		$134.68	$134.68	$134.68
BCBS Facility/Professional Facility Modifier Low / Median / High Price $471.00 / $900.66 / $2,252.69	Facility		$471.00	$900.66	$2,252.69
BCBS Facility/Professional Professional Modifier Low / Median / High Price $130.29 / $175.42 / $1,061.79	Professional		$130.29	$175.42	$1,061.79
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 $162.56 / $424.17 / $1,606.28	Professional		$162.56	$424.17	$1,606.28
Medcost Facility/Professional Facility Modifier Low / Median / High Price $159.61 / $956.84 / $1,540.56	Facility		$159.61	$956.84	$1,540.56
Medcost Facility/Professional Professional Modifier Low / Median / High Price $270.43 / $1,310.55 / $2,188.59	Professional		$270.43	$1,310.55	$2,188.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $603.31 / $814.47 / $1,237.36	Professional		$603.31	$814.47	$1,237.36
United Facility/Professional Facility Modifier Low / Median / High Price $614.00 / $4,877.00 / $8,667.00	Facility		$614.00	$4,877.00	$8,667.00
United Facility/Professional Professional Modifier Low / Median / High Price $736.58 / $1,040.69 / $2,035.00	Professional		$736.58	$1,040.69	$2,035.00