Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $306.56 / $4,034.79 / $10,052.52	Facility		$306.56	$4,034.79	$10,052.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $203.13 / $253.71 / $415.39	Professional		$203.13	$253.71	$415.39
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $118.56 / $118.56 / $221.49	Professional		$118.56	$118.56	$221.49
BCBS Facility/Professional Facility Modifier Low / Median / High Price $936.18 / $2,118.61 / $3,486.32	Facility		$936.18	$2,118.61	$3,486.32
BCBS Facility/Professional Professional Modifier Low / Median / High Price $173.00 / $253.87 / $400.77	Professional		$173.00	$253.87	$400.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $375.00 / $375.00 / $1,158.06	Facility		$375.00	$375.00	$1,158.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $220.70 / $289.92 / $383.18	Professional		$220.70	$289.92	$383.18
Medcost Facility/Professional Facility Modifier Low / Median / High Price $219.25 / $289.00 / $398.63	Facility		$219.25	$289.00	$398.63
Medcost Facility/Professional Professional Modifier Low / Median / High Price $958.76 / $958.76 / $958.76	Professional		$958.76	$958.76	$958.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $202.75 / $249.26 / $325.47	Professional		$202.75	$249.26	$325.47
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 $218.97 / $270.82 / $446.85	Professional		$218.97	$270.82	$446.85