Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $573.29 / $9,062.00 / $16,467.00	Facility		$573.29	$9,062.00	$16,467.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $443.80 / $573.29 / $734.30	Professional		$443.80	$573.29	$734.30
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $451.03 / $451.03 / $451.03	Professional		$451.03	$451.03	$451.03
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,073.24 / $5,808.35 / $9,670.36	Facility		$3,073.24	$5,808.35	$9,670.36
BCBS Facility/Professional Professional Modifier Low / Median / High Price $304.00 / $463.67 / $726.81	Professional		$304.00	$463.67	$726.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $715.00 / $715.00 / $2,594.85	Facility		$715.00	$715.00	$2,594.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $413.28 / $621.34 / $1,270.01	Professional		$413.28	$621.34	$1,270.01
Medcost Facility/Professional Facility Modifier Low / Median / High Price $414.00 / $593.50 / $988.90	Facility		$414.00	$593.50	$988.90
Medcost Facility/Professional Professional Modifier Low / Median / High Price $933.00 / $933.00 / $2,174.76	Professional		$933.00	$933.00	$2,174.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $69.42 / $365.53 / $641.28	Professional		$69.42	$365.53	$641.28
United Facility/Professional Facility Modifier Low / Median / High Price $1,779.00 / $12,456.00 / $19,591.00	Facility		$1,779.00	$12,456.00	$19,591.00
United Facility/Professional Professional Modifier Low / Median / High Price $448.23 / $595.92 / $975.48	Professional		$448.23	$595.92	$975.48