Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $4,365.16 / $9,332.54	Facility		$257.04	$4,365.16	$9,332.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $144.54 / $309.03	Professional		$81.28	$144.54	$309.03
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $104.71 / $169.82	Professional		$45.71	$104.71	$169.82
BCBS Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $1,047.13 / $1,862.09	Facility		$588.84	$1,047.13	$1,862.09
BCBS Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $114.82 / $181.97	Professional		$64.57	$114.82	$181.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $169.82 / $169.82	Facility		$169.82	$169.82	$169.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $141.25 / $204.17	Professional		$100.00	$141.25	$204.17
Medcost Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $199.53 / $199.53	Professional		$199.53	$199.53	$199.53
Medcost Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $151.36 / $213.80	Facility		$100.00	$151.36	$213.80
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 / $1,230.27 / $3,548.13	Facility		$380.19	$1,230.27	$3,548.13
United Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $125.89 / $218.78	Professional		$85.11	$125.89	$218.78