Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $463.57 / $4,034.80 / $10,131.26	Facility		$463.57	$4,034.80	$10,131.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.34 / $244.72 / $463.57	Professional		$173.34	$244.72	$463.57
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $311.77 / $311.77 / $311.77	Professional		$311.77	$311.77	$311.77
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,625.19 / $4,454.43 / $7,943.74	Facility		$1,625.19	$4,454.43	$7,943.74
BCBS Facility/Professional Professional Modifier Low / Median / High Price $174.18 / $245.00 / $444.45	Professional		$174.18	$245.00	$444.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $505.00 / $2,130.29 / $2,737.46	Facility		$505.00	$2,130.29	$2,737.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $195.37 / $253.60 / $480.48	Professional		$195.37	$253.60	$480.48
Medcost Facility/Professional Facility Modifier Low / Median / High Price $184.66 / $271.00 / $442.30	Facility		$184.66	$271.00	$442.30
Medcost Facility/Professional Professional Modifier Low / Median / High Price $894.76 / $1,884.79 / $2,096.12	Professional		$894.76	$1,884.79	$2,096.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $156.82 / $225.32 / $358.57	Professional		$156.82	$225.32	$358.57
United Facility/Professional Facility Modifier Low / Median / High Price $1,981.00 / $10,069.00 / $16,249.00	Facility		$1,981.00	$10,069.00	$16,249.00
United Facility/Professional Professional Modifier Low / Median / High Price $184.59 / $290.00 / $529.04	Professional		$184.59	$290.00	$529.04