Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $783.26 / $3,776.00 / $9,727.00	Facility		$783.26	$3,776.00	$9,727.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $603.32 / $783.26 / $920.95	Professional		$603.32	$783.26	$920.95
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $733.41 / $733.41 / $733.41	Professional		$733.41	$733.41	$733.41
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,915.60 / $6,521.11 / $11,771.41	Facility		$2,915.60	$6,521.11	$11,771.41
BCBS Facility/Professional Professional Modifier Low / Median / High Price $602.09 / $707.34 / $1,221.98	Professional		$602.09	$707.34	$1,221.98
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 $574.45 / $817.71 / $1,592.03	Professional		$574.45	$817.71	$1,592.03
Medcost Facility/Professional Facility Modifier Low / Median / High Price $643.61 / $860.00 / $1,281.00	Facility		$643.61	$860.00	$1,281.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $493.00 / $493.00 / $1,675.17	Professional		$493.00	$493.00	$1,675.17
Molina Facility/Professional Professional Modifier Low / Median / High Price $69.42 / $488.61 / $806.28	Professional		$69.42	$488.61	$806.28
United Facility/Professional Facility Modifier Low / Median / High Price $1,258.00 / $10,257.00 / $16,249.00	Facility		$1,258.00	$10,257.00	$16,249.00
United Facility/Professional Professional Modifier Low / Median / High Price $564.26 / $754.27 / $1,386.74	Professional		$564.26	$754.27	$1,386.74