Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $549.54 / $549.54	Facility		$549.54	$549.54	$549.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $630.96 / $1,122.02	Professional		$407.38	$630.96	$1,122.02
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $912.01 / $1,288.25	Professional		$602.56	$912.01	$1,288.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $1,288.25 / $1,621.81	Professional		$302.00	$1,288.25	$1,621.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $812.83 / $1,318.26	Facility		$812.83	$812.83	$1,318.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $588.84 / $1,023.29	Professional		$588.84	$588.84	$1,023.29
Medcost Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $741.31 / $1,862.09	Facility		$501.19	$741.31	$1,862.09
Medcost Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $288.40 / $398.11	Professional		$288.40	$288.40	$398.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $1,122.02	Professional		$30.20	$30.20	$1,122.02
United Facility/Professional Facility Modifier Low / Median / High Price $1.00 / $741.31 / $1,445.44	Facility		$1.00	$741.31	$1,445.44
United Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $794.33 / $1,096.48	Professional		$524.81	$794.33	$1,096.48