Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $197.29 / $3,508.40 / $22,776.00	Facility		$197.29	$3,508.40	$22,776.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.00 / $287.66 / $492.00	Professional		$131.00	$287.66	$492.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $66.28 / $66.28 / $66.28	Professional		$66.28	$66.28	$66.28
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,739.40 / $3,943.89 / $9,106.95	Facility		$1,739.40	$3,943.89	$9,106.95
BCBS Facility/Professional Professional Modifier Low / Median / High Price $123.31 / $257.08 / $426.89	Professional		$123.31	$257.08	$426.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $505.00 / $1,221.33 / $1,569.43	Facility		$505.00	$1,221.33	$1,569.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $150.53 / $319.42 / $600.89	Professional		$150.53	$319.42	$600.89
Medcost Facility/Professional Facility Modifier Low / Median / High Price $152.94 / $338.00 / $531.96	Facility		$152.94	$338.00	$531.96
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,080.58 / $1,174.21 / $1,286.61	Professional		$1,080.58	$1,174.21	$1,286.61
Molina Facility/Professional Professional Modifier Low / Median / High Price $219.46 / $299.31 / $460.32	Professional		$219.46	$299.31	$460.32
United Facility/Professional Facility Modifier Low / Median / High Price $791.00 / $10,257.00 / $16,249.00	Facility		$791.00	$10,257.00	$16,249.00
United Facility/Professional Professional Modifier Low / Median / High Price $268.61 / $392.69 / $782.53	Professional		$268.61	$392.69	$782.53