Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $137.54 / $3,356.00 / $10,337.37	Facility		$137.54	$3,356.00	$10,337.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.12 / $112.06 / $212.63	Professional		$71.12	$112.06	$212.63
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $206.80 / $206.80 / $206.80	Professional		$206.80	$206.80	$206.80
BCBS Facility/Professional Facility Modifier Low / Median / High Price $618.30 / $1,148.60 / $1,857.78	Facility		$618.30	$1,148.60	$1,857.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $49.00 / $79.80 / $138.50	Professional		$49.00	$79.80	$138.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $148.61 / $148.61 / $148.61	Facility		$148.61	$148.61	$148.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.31 / $112.74 / $169.89	Professional		$75.31	$112.74	$169.89
Medcost Facility/Professional Facility Modifier Low / Median / High Price $78.17 / $121.00 / $166.31	Facility		$78.17	$121.00	$166.31
Medcost Facility/Professional Professional Modifier Low / Median / High Price $153.32 / $153.32 / $153.32	Professional		$153.32	$153.32	$153.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $86.25 / $117.12 / $157.40	Professional		$86.25	$117.12	$157.40
United Facility/Professional Facility Modifier Low / Median / High Price $461.00 / $3,866.00 / $6,584.00	Facility		$461.00	$3,866.00	$6,584.00
United Facility/Professional Professional Modifier Low / Median / High Price $91.33 / $118.75 / $207.81	Professional		$91.33	$118.75	$207.81