Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $164.70 / $3,776.00 / $9,727.00	Facility		$164.70	$3,776.00	$9,727.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $110.57 / $158.46 / $204.10	Professional		$110.57	$158.46	$204.10
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $129.69 / $129.69 / $138.57	Professional		$129.69	$129.69	$138.57
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,014.75 / $1,975.15 / $3,144.43	Facility		$1,014.75	$1,975.15	$3,144.43
BCBS Facility/Professional Professional Modifier Low / Median / High Price $126.68 / $170.00 / $282.94	Professional		$126.68	$170.00	$282.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $148.61 / $148.61 / $148.61	Facility		$148.61	$148.61	$148.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $133.31 / $182.93 / $355.16	Professional		$133.31	$182.93	$355.16
Medcost Facility/Professional Facility Modifier Low / Median / High Price $139.00 / $198.00 / $346.41	Facility		$139.00	$198.00	$346.41
Medcost Facility/Professional Professional Modifier Low / Median / High Price $147.32 / $147.32 / $147.32	Professional		$147.32	$147.32	$147.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $123.75 / $155.02 / $199.13	Professional		$123.75	$155.02	$199.13
United Facility/Professional Facility Modifier Low / Median / High Price $659.00 / $6,607.00 / $8,667.00	Facility		$659.00	$6,607.00	$8,667.00
United Facility/Professional Professional Modifier Low / Median / High Price $133.10 / $166.37 / $282.83	Professional		$133.10	$166.37	$282.83