Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $303.37 / $2,135.89 / $4,862.00	Facility		$303.37	$2,135.89	$4,862.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $99.93 / $230.99 / $562.29	Professional		$99.93	$230.99	$562.29
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $109.70 / $178.52 / $253.47	Professional		$109.70	$178.52	$253.47
BCBS Facility/Professional Facility Modifier Low / Median / High Price $616.63 / $1,405.34 / $2,714.46	Facility		$616.63	$1,405.34	$2,714.46
BCBS Facility/Professional Professional Modifier Low / Median / High Price $104.72 / $316.00 / $505.71	Professional		$104.72	$316.00	$505.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $182.22 / $580.00 / $607.82	Facility		$182.22	$580.00	$607.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $138.31 / $257.51 / $492.37	Professional		$138.31	$257.51	$492.37
Medcost Facility/Professional Facility Modifier Low / Median / High Price $125.49 / $303.37 / $466.93	Facility		$125.49	$303.37	$466.93
Medcost Facility/Professional Professional Modifier Low / Median / High Price $518.09 / $518.09 / $518.09	Professional		$518.09	$518.09	$518.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $219.46 / $297.71 / $456.15	Professional		$219.46	$297.71	$456.15
United Facility/Professional Facility Modifier Low / Median / High Price $490.00 / $3,866.00 / $6,584.00	Facility		$490.00	$3,866.00	$6,584.00
United Facility/Professional Professional Modifier Low / Median / High Price $154.91 / $260.89 / $443.31	Professional		$154.91	$260.89	$443.31