Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $186.71 / $4,357.50 / $9,062.00	Facility		$186.71	$4,357.50	$9,062.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.82 / $150.59 / $296.33	Professional		$95.82	$150.59	$296.33
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $66.26 / $75.03 / $232.95	Professional		$66.26	$75.03	$232.95
BCBS Facility/Professional Facility Modifier Low / Median / High Price $566.67 / $1,071.02 / $1,761.66	Facility		$566.67	$1,071.02	$1,761.66
BCBS Facility/Professional Professional Modifier Low / Median / High Price $75.00 / $113.71 / $193.76	Professional		$75.00	$113.71	$193.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $186.69 / $186.69 / $186.69	Facility		$186.69	$186.69	$186.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $108.98 / $153.80 / $226.71	Professional		$108.98	$153.80	$226.71
Medcost Facility/Professional Facility Modifier Low / Median / High Price $110.38 / $161.03 / $225.68	Facility		$110.38	$161.03	$225.68
Medcost Facility/Professional Professional Modifier Low / Median / High Price $190.44 / $190.44 / $190.44	Professional		$190.44	$190.44	$190.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $114.26 / $150.47 / $198.12	Professional		$114.26	$150.47	$198.12
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 $109.76 / $158.72 / $235.32	Professional		$109.76	$158.72	$235.32