Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $103.79 / $103.79 / $104.78	Facility		$103.79	$103.79	$104.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $90.61 / $100.27 / $142.19	Professional		$90.61	$100.27	$142.19
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $105.83 / $105.83 / $138.72	Professional		$105.83	$105.83	$138.72
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,577.48 / $2,867.21 / $4,635.57	Facility		$1,577.48	$2,867.21	$4,635.57
BCBS Facility/Professional Professional Modifier Low / Median / High Price $99.93 / $121.00 / $204.45	Professional		$99.93	$121.00	$204.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $108.30 / $127.05 / $200.81	Professional		$108.30	$127.05	$200.81
Medcost Facility/Professional Facility Modifier Low / Median / High Price $99.18 / $122.06 / $209.37	Facility		$99.18	$122.06	$209.37
Molina Facility/Professional Professional Modifier Low / Median / High Price $84.09 / $113.27 / $169.60	Professional		$84.09	$113.27	$169.60
United Facility/Professional Professional Modifier Low / Median / High Price $95.49 / $109.86 / $186.15	Professional		$95.49	$109.86	$186.15