Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $355.32 / $1,982.20 / $7,569.01	Facility		$355.32	$1,982.20	$7,569.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.92 / $257.63 / $826.70	Professional		$123.92	$257.63	$826.70
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $208.41 / $208.41 / $208.41	Professional		$208.41	$208.41	$208.41
BCBS Facility/Professional Facility Modifier Low / Median / High Price $749.35 / $1,803.36 / $3,784.63	Facility		$749.35	$1,803.36	$3,784.63
BCBS Facility/Professional Professional Modifier Low / Median / High Price $116.43 / $348.69 / $583.23	Professional		$116.43	$348.69	$583.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $375.00 / $901.20 / $1,158.06	Facility		$375.00	$901.20	$1,158.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $162.97 / $323.01 / $1,074.30	Professional		$162.97	$323.01	$1,074.30
Medcost Facility/Professional Facility Modifier Low / Median / High Price $154.10 / $299.51 / $961.61	Facility		$154.10	$299.51	$961.61
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $264.00 / $459.03 / $1,442.41	Facility	50	$264.00	$459.03	$1,442.41
Medcost Facility/Professional Professional Modifier Low / Median / High Price $438.95 / $797.34 / $958.76	Professional		$438.95	$797.34	$958.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $383.93 / $522.73 / $802.92	Professional		$383.93	$522.73	$802.92
United Facility/Professional Facility Modifier Low / Median / High Price $659.00 / $6,607.00 / $8,667.00	Facility		$659.00	$6,607.00	$8,667.00
United Facility/Professional Professional Modifier Low / Median / High Price $229.23 / $582.80 / $1,268.34	Professional		$229.23	$582.80	$1,268.34