Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $183.07 / $2,685.00 / $9,727.00	Facility		$183.07	$2,685.00	$9,727.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $156.25 / $237.09 / $354.73	Professional		$156.25	$237.09	$354.73
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $104.68 / $104.68 / $104.68	Professional		$104.68	$104.68	$104.68
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,078.21 / $2,116.75 / $3,520.93	Facility		$1,078.21	$2,116.75	$3,520.93
BCBS Facility/Professional Professional Modifier Low / Median / High Price $164.36 / $239.70 / $332.50	Professional		$164.36	$239.70	$332.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $259.14 / $259.14 / $259.14	Facility		$259.14	$259.14	$259.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $161.25 / $232.21 / $339.54	Professional		$161.25	$232.21	$339.54
Medcost Facility/Professional Facility Modifier Low / Median / High Price $164.09 / $245.85 / $352.86	Facility		$164.09	$245.85	$352.86
Medcost Facility/Professional Professional Modifier Low / Median / High Price $262.99 / $262.99 / $262.99	Professional		$262.99	$262.99	$262.99
Molina Facility/Professional Professional Modifier Low / Median / High Price $172.51 / $214.72 / $280.20	Professional		$172.51	$214.72	$280.20
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 $184.36 / $242.65 / $424.64	Professional		$184.36	$242.65	$424.64