Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $466.17 / $3,508.40 / $13,169.90	Facility		$466.17	$3,508.40	$13,169.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $164.47 / $385.10 / $840.31	Professional		$164.47	$385.10	$840.31
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $168.28 / $168.28 / $168.28	Professional		$168.28	$168.28	$168.28
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,146.81 / $3,572.90 / $7,264.23	Facility		$1,146.81	$3,572.90	$7,264.23
BCBS Facility/Professional Professional Modifier Low / Median / High Price $156.54 / $356.00 / $478.85	Professional		$156.54	$356.00	$478.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,221.33 / $1,221.33 / $1,569.43	Facility		$1,221.33	$1,221.33	$1,569.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $206.93 / $383.09 / $770.95	Professional		$206.93	$383.09	$770.95
Medcost Facility/Professional Facility Modifier Low / Median / High Price $187.75 / $401.34 / $671.13	Facility		$187.75	$401.34	$671.13
Medcost Facility/Professional Professional Modifier Low / Median / High Price $695.89 / $1,080.58 / $1,286.61	Professional		$695.89	$1,080.58	$1,286.61
Molina Facility/Professional Professional Modifier Low / Median / High Price $274.36 / $374.39 / $579.09	Professional		$274.36	$374.39	$579.09
United Facility/Professional Facility Modifier Low / Median / High Price $1,471.00 / $5,871.00 / $8,667.00	Facility		$1,471.00	$5,871.00	$8,667.00
United Facility/Professional Professional Modifier Low / Median / High Price $315.33 / $487.48 / $948.62	Professional		$315.33	$487.48	$948.62