Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $537.03 / $537.03	Facility		$537.03	$537.03	$537.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $575.44 / $954.99	Professional		$446.68	$575.44	$954.99
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $691.83 / $812.83	Professional		$691.83	$691.83	$812.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $1,096.48 / $1,288.25	Professional		$616.60	$1,096.48	$1,288.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $707.95 / $1,737.80	Facility		$234.42	$707.95	$1,737.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $512.86 / $1,258.93	Professional		$512.86	$512.86	$1,258.93
Medcost Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $630.96 / $707.95	Professional		$549.54	$630.96	$707.95
Medcost Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $812.83 / $1,698.24	Facility		$524.81	$812.83	$1,698.24
Medcost Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $309.03 / $309.03	Professional		$309.03	$309.03	$309.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $30.20	Professional		$30.20	$30.20	$30.20
United Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $562.34 / $1,318.26	Facility		$316.23	$562.34	$1,318.26
United Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $537.03 / $676.08	Professional		$398.11	$537.03	$676.08