Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $4,897.79 / $9,772.37	Facility		$263.03	$4,897.79	$9,772.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $208.93 / $436.52	Professional		$117.49	$208.93	$436.52
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $112.20 / $204.17	Professional		$95.50	$112.20	$204.17
BCBS Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $1,047.13 / $1,819.70	Facility		$588.84	$1,047.13	$1,819.70
BCBS Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $229.09 / $309.03	Professional		$141.25	$229.09	$309.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $257.04 / $257.04	Facility		$257.04	$257.04	$257.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $229.09 / $331.13	Professional		$154.88	$229.09	$331.13
Medcost Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $295.12 / $295.12	Professional		$295.12	$295.12	$295.12
Medcost Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $234.42 / $346.74	Facility		$154.88	$234.42	$346.74
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 $380.19 / $1,230.27 / $3,548.13	Facility		$380.19	$1,230.27	$3,548.13
United Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $204.17 / $354.81	Professional		$138.04	$204.17	$354.81