Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $111.49 / $3,776.00 / $9,727.00	Facility		$111.49	$3,776.00	$9,727.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $101.47 / $117.10 / $182.78	Professional		$101.47	$117.10	$182.78
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $109.33 / $109.33 / $109.33	Professional		$109.33	$109.33	$109.33
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,474.21 / $3,761.70 / $6,556.42	Facility		$1,474.21	$3,761.70	$6,556.42
BCBS Facility/Professional Professional Modifier Low / Median / High Price $86.27 / $165.82 / $268.00	Professional		$86.27	$165.82	$268.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $375.00 / $375.00 / $1,985.43	Facility		$375.00	$375.00	$1,985.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $103.24 / $150.94 / $259.83	Professional		$103.24	$150.94	$259.83
Medcost Facility/Professional Facility Modifier Low / Median / High Price $105.36 / $150.51 / $227.00	Facility		$105.36	$150.51	$227.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $493.00 / $493.00 / $1,675.17	Professional		$493.00	$493.00	$1,675.17
Medcost Facility/Professional Professional Modifier 50 Low / Median / High Price $2,512.76 / $2,512.76 / $2,512.76	Professional	50	$2,512.76	$2,512.76	$2,512.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $106.95 / $138.85 / $173.19	Professional		$106.95	$138.85	$173.19
United Facility/Professional Facility Modifier Low / Median / High Price $225.00 / $1,221.00 / $3,585.00	Facility		$225.00	$1,221.00	$3,585.00
United Facility/Professional Professional Modifier Low / Median / High Price $106.44 / $128.46 / $229.25	Professional		$106.44	$128.46	$229.25