Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $176.00 / $1,735.20 / $2,644.58	Facility		$176.00	$1,735.20	$2,644.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $103.51 / $157.84 / $376.08	Professional		$103.51	$157.84	$376.08
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $139.90 / $139.90 / $139.90	Professional		$139.90	$139.90	$139.90
BCBS Facility/Professional Facility Modifier Low / Median / High Price $539.57 / $1,221.83 / $2,160.23	Facility		$539.57	$1,221.83	$2,160.23
BCBS Facility/Professional Professional Modifier Low / Median / High Price $103.93 / $191.98 / $346.39	Professional		$103.93	$191.98	$346.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $570.65 / $570.65 / $570.65	Facility		$570.65	$570.65	$570.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.00 / $198.92 / $352.86	Professional		$128.00	$198.92	$352.86
Medcost Facility/Professional Facility Modifier Low / Median / High Price $110.76 / $220.30 / $376.09	Facility		$110.76	$220.30	$376.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $121.81 / $150.60 / $224.27	Professional		$121.81	$150.60	$224.27
United Facility/Professional Facility Modifier Low / Median / High Price $461.00 / $3,866.00 / $6,584.00	Facility		$461.00	$3,866.00	$6,584.00
United Facility/Professional Professional Modifier Low / Median / High Price $153.01 / $234.82 / $481.22	Professional		$153.01	$234.82	$481.22