Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $4,897.79 / $10,232.93	Facility		$218.78	$4,897.79	$10,232.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $117.49 / $229.09	Professional		$69.18	$117.49	$229.09
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $89.13 / $158.49	Professional		$53.70	$89.13	$158.49
BCBS Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $1,047.13 / $1,862.09	Facility		$630.96	$1,047.13	$1,862.09
BCBS Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $89.13 / $147.91	Professional		$51.29	$89.13	$147.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $147.91 / $147.91	Facility		$147.91	$147.91	$147.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $114.82 / $169.82	Professional		$75.86	$114.82	$169.82
Medcost Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $169.82 / $169.82	Professional		$169.82	$169.82	$169.82
Medcost Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $123.03 / $169.82	Facility		$77.62	$123.03	$169.82
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 / $7,762.47	Facility		$1,122.02	$3,890.45	$7,762.47
United Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $102.33 / $173.78	Professional		$67.61	$102.33	$173.78