Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $3,467.37 / $10,232.93	Facility		$316.23	$3,467.37	$10,232.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $165.96 / $346.74	Professional		$107.15	$165.96	$346.74
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $165.96 / $194.98	Professional		$120.23	$165.96	$194.98
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $2,818.38 / $5,128.61	Facility		$1,513.56	$2,818.38	$5,128.61
BCBS Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $134.90 / $213.80	Professional		$42.66	$134.90	$213.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $158.49 / $257.04	Professional		$117.49	$158.49	$257.04
Medcost Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $213.80 / $213.80	Professional		$213.80	$213.80	$213.80
Medcost Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $158.49 / $229.09	Facility		$114.82	$158.49	$229.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $6,760.83 / $10,000.00	Facility		$1,698.24	$6,760.83	$10,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $141.25 / $234.42	Professional		$97.72	$141.25	$234.42