Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $196.56 / $3,954.83 / $9,727.00	Facility		$196.56	$3,954.83	$9,727.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $168.31 / $251.56 / $411.57	Professional		$168.31	$251.56	$411.57
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $111.06 / $111.06 / $111.06	Professional		$111.06	$111.06	$111.06
BCBS Facility/Professional Facility Modifier Low / Median / High Price $903.56 / $1,729.26 / $3,374.48	Facility		$903.56	$1,729.26	$3,374.48
BCBS Facility/Professional Professional Modifier Low / Median / High Price $174.92 / $293.73 / $406.00	Professional		$174.92	$293.73	$406.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $269.73 / $269.73 / $269.73	Facility		$269.73	$269.73	$269.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $180.05 / $256.94 / $359.61	Professional		$180.05	$256.94	$359.61
Medcost Facility/Professional Facility Modifier Low / Median / High Price $176.39 / $265.36 / $387.59	Facility		$176.39	$265.36	$387.59
Medcost Facility/Professional Professional Modifier Low / Median / High Price $273.91 / $273.91 / $273.91	Professional		$273.91	$273.91	$273.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.34 / $209.92 / $305.87	Professional		$30.34	$209.92	$305.87
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 $194.27 / $257.24 / $450.17	Professional		$194.27	$257.24	$450.17