Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $3,715.35 / $7,943.28	Facility		$338.84	$3,715.35	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $295.12 / $630.96	Professional		$186.21	$295.12	$630.96
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $208.93 / $371.54	Professional		$107.15	$208.93	$371.54
BCBS Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $1,659.59 / $3,162.28	Facility		$851.14	$1,659.59	$3,162.28
BCBS Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $302.00 / $467.74	Professional		$204.17	$302.00	$467.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $501.19 / $501.19	Facility		$501.19	$501.19	$501.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $331.13 / $436.52	Professional		$223.87	$331.13	$436.52
Medcost Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $489.78 / $489.78	Professional		$489.78	$489.78	$489.78
Medcost Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $323.59 / $501.19	Facility		$218.78	$323.59	$501.19
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 $1,122.02 / $3,890.45 / $7,943.28	Facility		$1,122.02	$3,890.45	$7,943.28
United Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $275.42 / $524.81	Professional		$190.55	$275.42	$524.81