Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $162.22 / $3,508.40 / $10,326.46	Facility		$162.22	$3,508.40	$10,326.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $99.84 / $142.85 / $262.17	Professional		$99.84	$142.85	$262.17
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $72.40 / $72.40 / $131.77	Professional		$72.40	$72.40	$131.77
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,072.53 / $2,116.75 / $3,486.32	Facility		$1,072.53	$2,116.75	$3,486.32
BCBS Facility/Professional Professional Modifier Low / Median / High Price $68.00 / $109.00 / $181.00	Professional		$68.00	$109.00	$181.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $166.59 / $166.59 / $166.59	Facility		$166.59	$166.59	$166.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.36 / $147.97 / $209.41	Professional		$107.36	$147.97	$209.41
Medcost Facility/Professional Facility Modifier Low / Median / High Price $105.55 / $152.82 / $215.03	Facility		$105.55	$152.82	$215.03
Medcost Facility/Professional Professional Modifier Low / Median / High Price $170.78 / $170.78 / $170.78	Professional		$170.78	$170.78	$170.78
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 $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 $115.71 / $151.69 / $265.48	Professional		$115.71	$151.69	$265.48