Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $3,801.89 / $9,549.93	Facility		$204.17	$3,801.89	$9,549.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $204.17 / $426.58	Professional		$128.82	$204.17	$426.58
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $120.23 / $229.09	Professional		$79.43	$120.23	$229.09
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $3,548.13 / $6,760.83	Facility		$1,513.56	$3,548.13	$6,760.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $177.83 / $275.42	Professional		$104.71	$177.83	$275.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $204.17 / $204.17	Facility		$204.17	$204.17	$204.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $199.53 / $269.15	Professional		$151.36	$199.53	$269.15
Medcost Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $288.40 / $288.40	Professional		$288.40	$288.40	$288.40
Medcost Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $204.17 / $295.12	Facility		$151.36	$204.17	$295.12
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 $1,698.24 / $6,760.83 / $10,000.00	Facility		$1,698.24	$6,760.83	$10,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $173.78 / $309.03	Professional		$128.82	$173.78	$309.03