Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $154.27 / $3,356.00 / $7,799.00	Facility		$154.27	$3,356.00	$7,799.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $92.84 / $127.22 / $236.70	Professional		$92.84	$127.22	$236.70
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $117.10 / $117.10 / $138.34	Professional		$117.10	$117.10	$138.34
BCBS Facility/Professional Facility Modifier Low / Median / High Price $625.29 / $1,093.77 / $1,765.12	Facility		$625.29	$1,093.77	$1,765.12
BCBS Facility/Professional Professional Modifier Low / Median / High Price $64.00 / $105.26 / $162.19	Professional		$64.00	$105.26	$162.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $163.94 / $163.94 / $163.94	Facility		$163.94	$163.94	$163.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.57 / $134.26 / $189.20	Professional		$97.57	$134.26	$189.20
Medcost Facility/Professional Facility Modifier Low / Median / High Price $98.64 / $138.32 / $186.47	Facility		$98.64	$138.32	$186.47
Medcost Facility/Professional Professional Modifier Low / Median / High Price $170.24 / $170.24 / $170.24	Professional		$170.24	$170.24	$170.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $86.25 / $117.12 / $157.40	Professional		$86.25	$117.12	$157.40
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 $101.24 / $132.35 / $231.33	Professional		$101.24	$132.35	$231.33