Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $155.32 / $532.36 / $9,727.00	Facility		$155.32	$532.36	$9,727.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.73 / $197.31 / $342.08	Professional		$117.73	$197.31	$342.08
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $156.37 / $156.37 / $156.37	Professional		$156.37	$156.37	$156.37
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,522.63 / $3,770.53 / $6,566.66	Facility		$1,522.63	$3,770.53	$6,566.66
BCBS Facility/Professional Professional Modifier Low / Median / High Price $113.08 / $183.96 / $281.67	Professional		$113.08	$183.96	$281.67
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 $128.13 / $216.39 / $402.04	Professional		$128.13	$216.39	$402.04
Medcost Facility/Professional Facility Modifier Low / Median / High Price $148.65 / $219.58 / $361.25	Facility		$148.65	$219.58	$361.25
Medcost Facility/Professional Professional Modifier Low / Median / High Price $690.04 / $797.34 / $958.76	Professional		$690.04	$797.34	$958.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $164.63 / $224.56 / $348.93	Professional		$164.63	$224.56	$348.93
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 $188.16 / $266.00 / $470.64	Professional		$188.16	$266.00	$470.64