Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $183.62 / $4,230.00 / $9,727.00	Facility		$183.62	$4,230.00	$9,727.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $130.50 / $183.62 / $294.69	Professional		$130.50	$183.62	$294.69
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $72.98 / $72.98 / $72.98	Professional		$72.98	$72.98	$72.98
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,862.00 / $3,552.64 / $5,917.19	Facility		$1,862.00	$3,552.64	$5,917.19
BCBS Facility/Professional Professional Modifier Low / Median / High Price $142.57 / $185.68 / $314.50	Professional		$142.57	$185.68	$314.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $264.43 / $264.43 / $264.43	Facility		$264.43	$264.43	$264.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $155.33 / $250.00 / $411.34	Professional		$155.33	$250.00	$411.34
Medcost Facility/Professional Facility Modifier Low / Median / High Price $152.74 / $255.47 / $413.27	Facility		$152.74	$255.47	$413.27
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $255.00 / $429.00 / $757.50	Facility	50	$255.00	$429.00	$757.50
Medcost Facility/Professional Professional Modifier Low / Median / High Price $276.10 / $276.10 / $276.10	Professional		$276.10	$276.10	$276.10
Medcost Facility/Professional Professional Modifier 50 Low / Median / High Price $414.15 / $414.15 / $414.15	Professional	50	$414.15	$414.15	$414.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.34 / $171.42 / $266.25	Professional		$30.34	$171.42	$266.25
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 $191.42 / $239.27 / $549.32	Professional		$191.42	$239.27	$549.32