Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $4,897.79 / $9,772.37	Facility		$199.53	$4,897.79	$9,772.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $177.83 / $354.81	Professional		$134.90	$177.83	$354.81
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $147.91 / $147.91	Professional		$147.91	$147.91	$147.91
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $4,365.16 / $8,128.31	Facility		$1,819.70	$4,365.16	$8,128.31
BCBS Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $186.21 / $257.04	Professional		$141.25	$186.21	$257.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $2,137.96 / $2,754.23	Facility		$371.54	$2,137.96	$2,754.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $194.98 / $354.81	Professional		$154.88	$194.98	$354.81
Medcost Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $204.17 / $346.74	Facility		$138.04	$204.17	$346.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $2,754.23 / $11,220.18 / $16,982.44	Facility		$2,754.23	$11,220.18	$16,982.44
United Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $173.78 / $302.00	Professional		$128.82	$173.78	$302.00