Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $300.32 / $3,016.00 / $7,796.00	Facility		$300.32	$3,016.00	$7,796.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.03 / $233.59 / $318.75	Professional		$117.03	$233.59	$318.75
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $111.90 / $196.97 / $196.97	Professional		$111.90	$196.97	$196.97
BCBS Facility/Professional Facility Modifier Low / Median / High Price $723.98 / $1,770.23 / $3,034.26	Facility		$723.98	$1,770.23	$3,034.26
BCBS Facility/Professional Professional Modifier Low / Median / High Price $115.54 / $277.00 / $404.99	Professional		$115.54	$277.00	$404.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $149.74 / $267.50 / $482.21	Professional		$149.74	$267.50	$482.21
Medcost Facility/Professional Facility Modifier Low / Median / High Price $140.61 / $324.70 / $510.54	Facility		$140.61	$324.70	$510.54
Medcost Facility/Professional Professional Modifier Low / Median / High Price $944.77 / $944.77 / $944.77	Professional		$944.77	$944.77	$944.77
Molina Facility/Professional Professional Modifier Low / Median / High Price $182.42 / $246.62 / $373.50	Professional		$182.42	$246.62	$373.50
United Facility/Professional Facility Modifier Low / Median / High Price $1,106.00 / $3,866.00 / $6,584.00	Facility		$1,106.00	$3,866.00	$6,584.00
United Facility/Professional Professional Modifier Low / Median / High Price $239.38 / $335.29 / $611.71	Professional		$239.38	$335.29	$611.71