Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $227.14 / $4,673.00 / $9,727.00	Facility		$227.14	$4,673.00	$9,727.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $149.21 / $243.81 / $412.35	Professional		$149.21	$243.81	$412.35
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $179.40 / $179.40 / $486.92	Professional		$179.40	$179.40	$486.92
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,175.92 / $4,428.83 / $7,666.70	Facility		$2,175.92	$4,428.83	$7,666.70
BCBS Facility/Professional Professional Modifier Low / Median / High Price $175.22 / $245.27 / $425.11	Professional		$175.22	$245.27	$425.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,677.54 / $1,677.54 / $1,677.54	Facility		$1,677.54	$1,677.54	$1,677.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $190.93 / $314.89 / $571.66	Professional		$190.93	$314.89	$571.66
Medcost Facility/Professional Facility Modifier Low / Median / High Price $181.23 / $324.14 / $494.82	Facility		$181.23	$324.14	$494.82
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $364.50 / $480.10 / $739.50	Facility	50	$364.50	$480.10	$739.50
Medcost Facility/Professional Professional Modifier Low / Median / High Price $660.00 / $660.00 / $1,376.31	Professional		$660.00	$660.00	$1,376.31
Medcost Facility/Professional Professional Modifier 50 Low / Median / High Price $2,064.46 / $2,064.46 / $2,064.46	Professional	50	$2,064.46	$2,064.46	$2,064.46
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.34 / $256.59 / $355.09	Professional		$30.34	$256.59	$355.09
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 $243.31 / $331.66 / $537.37	Professional		$243.31	$331.66	$537.37