Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $187.78 / $4,995.14 / $7,799.00	Facility		$187.78	$4,995.14	$7,799.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $118.87 / $152.93 / $285.56	Professional		$118.87	$152.93	$285.56
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $84.55 / $84.55 / $84.55	Professional		$84.55	$84.55	$84.55
BCBS Facility/Professional Facility Modifier Low / Median / High Price $615.26 / $1,093.77 / $1,812.15	Facility		$615.26	$1,093.77	$1,812.15
BCBS Facility/Professional Professional Modifier Low / Median / High Price $78.00 / $130.55 / $202.49	Professional		$78.00	$130.55	$202.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $184.58 / $184.58 / $184.58	Facility		$184.58	$184.58	$184.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $125.26 / $169.10 / $233.10	Professional		$125.26	$169.10	$233.10
Medcost Facility/Professional Facility Modifier Low / Median / High Price $122.04 / $166.00 / $234.27	Facility		$122.04	$166.00	$234.27
Medcost Facility/Professional Professional Modifier Low / Median / High Price $189.33 / $189.33 / $189.33	Professional		$189.33	$189.33	$189.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $114.26 / $151.17 / $199.13	Professional		$114.26	$151.17	$199.13
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 $132.09 / $162.93 / $285.13	Professional		$132.09	$162.93	$285.13