Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $4,897.79 / $16,595.87	Facility		$269.15	$4,897.79	$16,595.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $218.78 / $446.68	Professional		$141.25	$218.78	$446.68
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $109.65 / $151.36	Professional		$104.71	$109.65	$151.36
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,949.84 / $3,548.13	Facility		$1,096.48	$1,949.84	$3,548.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $245.47 / $354.81	Professional		$144.54	$245.47	$354.81
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 $165.96 / $239.88 / $338.84	Professional		$165.96	$239.88	$338.84
Medcost Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $309.03 / $309.03	Professional		$309.03	$309.03	$309.03
Medcost Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $245.47 / $363.08	Facility		$162.18	$245.47	$363.08
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 $1,122.02 / $3,890.45 / $7,762.47	Facility		$1,122.02	$3,890.45	$7,762.47
United Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $213.80 / $371.54	Professional		$144.54	$213.80	$371.54