Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $193.75 / $2,627.80 / $7,799.00	Facility		$193.75	$2,627.80	$7,799.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $121.60 / $161.99 / $306.20	Professional		$121.60	$161.99	$306.20
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $74.28 / $87.75 / $121.63	Professional		$74.28	$87.75	$121.63
BCBS Facility/Professional Facility Modifier Low / Median / High Price $936.18 / $1,991.21 / $3,342.59	Facility		$936.18	$1,991.21	$3,342.59
BCBS Facility/Professional Professional Modifier Low / Median / High Price $83.00 / $134.34 / $209.60	Professional		$83.00	$134.34	$209.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $185.10 / $185.10 / $185.10	Facility		$185.10	$185.10	$185.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $130.13 / $173.14 / $235.29	Professional		$130.13	$173.14	$235.29
Medcost Facility/Professional Facility Modifier Low / Median / High Price $130.29 / $173.88 / $239.42	Facility		$130.29	$173.88	$239.42
Medcost Facility/Professional Professional Modifier Low / Median / High Price $188.79 / $188.79 / $188.79	Professional		$188.79	$188.79	$188.79
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 $129.09 / $170.56 / $281.42	Professional		$129.09	$170.56	$281.42