Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $303.88 / $4,357.50 / $12,567.28	Facility		$303.88	$4,357.50	$12,567.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $202.90 / $330.82 / $787.89	Professional		$202.90	$330.82	$787.89
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $198.48 / $198.48 / $198.48	Professional		$198.48	$198.48	$198.48
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,069.81 / $6,650.72 / $12,200.09	Facility		$2,069.81	$6,650.72	$12,200.09
BCBS Facility/Professional Professional Modifier Low / Median / High Price $184.63 / $337.00 / $482.34	Professional		$184.63	$337.00	$482.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,923.74 / $2,923.74 / $3,757.06	Facility		$2,923.74	$2,923.74	$3,757.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $227.83 / $351.55 / $739.08	Professional		$227.83	$351.55	$739.08
Medcost Facility/Professional Facility Modifier Low / Median / High Price $243.11 / $382.49 / $633.38	Facility		$243.11	$382.49	$633.38
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,459.87 / $2,586.81 / $3,077.97	Professional		$1,459.87	$2,586.81	$3,077.97
Molina Facility/Professional Professional Modifier Low / Median / High Price $305.46 / $414.00 / $644.69	Professional		$305.46	$414.00	$644.69
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $12,798.00 / $19,665.00	Facility		$2,155.00	$12,798.00	$19,665.00
United Facility/Professional Professional Modifier Low / Median / High Price $295.17 / $452.30 / $895.26	Professional		$295.17	$452.30	$895.26