Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $213.31 / $4,785.02 / $9,062.00	Facility		$213.31	$4,785.02	$9,062.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $130.06 / $172.33 / $297.55	Professional		$130.06	$172.33	$297.55
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $76.76 / $82.18 / $194.98	Professional		$76.76	$82.18	$194.98
BCBS Facility/Professional Facility Modifier Low / Median / High Price $936.18 / $1,888.76 / $3,427.45	Facility		$936.18	$1,888.76	$3,427.45
BCBS Facility/Professional Professional Modifier Low / Median / High Price $98.00 / $150.36 / $243.22	Professional		$98.00	$150.36	$243.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $203.61 / $203.61 / $203.61	Facility		$203.61	$203.61	$203.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $138.33 / $186.89 / $259.61	Professional		$138.33	$186.89	$259.61
Medcost Facility/Professional Facility Modifier Low / Median / High Price $141.78 / $189.65 / $262.76	Facility		$141.78	$189.65	$262.76
Medcost Facility/Professional Professional Modifier Low / Median / High Price $207.34 / $207.34 / $207.34	Professional		$207.34	$207.34	$207.34
Molina Facility/Professional Professional Modifier Low / Median / High Price $120.94 / $162.87 / $231.82	Professional		$120.94	$162.87	$231.82
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 $142.93 / $185.97 / $508.95	Professional		$142.93	$185.97	$508.95