Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $259.00 / $4,340.70 / $9,246.71	Facility		$259.00	$4,340.70	$9,246.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.09 / $135.50 / $257.18	Professional		$87.09	$135.50	$257.18
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $54.54 / $64.16 / $197.43	Professional		$54.54	$64.16	$197.43
BCBS Facility/Professional Facility Modifier Low / Median / High Price $615.26 / $1,123.18 / $1,812.15	Facility		$615.26	$1,123.18	$1,812.15
BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $103.86 / $169.70	Professional		$60.00	$103.86	$169.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $170.83 / $170.83 / $170.83	Facility		$170.83	$170.83	$170.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $99.15 / $139.29 / $205.44	Professional		$99.15	$139.29	$205.44
Medcost Facility/Professional Facility Modifier Low / Median / High Price $97.90 / $145.09 / $202.94	Facility		$97.90	$145.09	$202.94
Medcost Facility/Professional Professional Modifier Low / Median / High Price $175.68 / $175.68 / $175.68	Professional		$175.68	$175.68	$175.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $103.87 / $129.19 / $177.11	Professional		$103.87	$129.19	$177.11
United Facility/Professional Facility Modifier Low / Median / High Price $225.00 / $1,221.00 / $3,585.00	Facility		$225.00	$1,221.00	$3,585.00
United Facility/Professional Professional Modifier Low / Median / High Price $109.89 / $145.15 / $254.01	Professional		$109.89	$145.15	$254.01