Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $4,897.79 / $9,772.37	Facility		$128.82	$4,897.79	$9,772.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $107.15 / $269.15	Professional		$75.86	$107.15	$269.15
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $104.71 / $204.17	Professional		$75.86	$104.71	$204.17
BCBS Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $1,513.56 / $3,388.44	Facility		$870.96	$1,513.56	$3,388.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $114.82 / $165.96	Professional		$85.11	$114.82	$165.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $120.23 / $169.82	Professional		$87.10	$120.23	$169.82
Medcost Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $165.96 / $165.96	Professional		$165.96	$165.96	$165.96
Medcost Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $123.03 / $158.49	Facility		$95.50	$123.03	$158.49
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 $380.19 / $1,202.26 / $3,548.13	Facility		$380.19	$1,202.26	$3,548.13
United Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $104.71 / $169.82	Professional		$74.13	$104.71	$169.82