Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $298.27 / $1,477.97 / $4,862.00	Facility		$298.27	$1,477.97	$4,862.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $115.33 / $242.89 / $508.42	Professional		$115.33	$242.89	$508.42
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $99.10 / $110.30 / $194.13	Professional		$99.10	$110.30	$194.13
BCBS Facility/Professional Facility Modifier Low / Median / High Price $610.28 / $1,589.98 / $3,027.01	Facility		$610.28	$1,589.98	$3,027.01
BCBS Facility/Professional Professional Modifier Low / Median / High Price $112.79 / $268.00 / $396.83	Professional		$112.79	$268.00	$396.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $147.18 / $263.61 / $475.83	Professional		$147.18	$263.61	$475.83
Medcost Facility/Professional Facility Modifier Low / Median / High Price $138.56 / $320.42 / $507.06	Facility		$138.56	$320.42	$507.06
Medcost Facility/Professional Professional Modifier Low / Median / High Price $933.76 / $933.76 / $933.76	Professional		$933.76	$933.76	$933.76
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 $173.82 / $270.24 / $509.42	Professional		$173.82	$270.24	$509.42