Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $4,897.79 / $16,595.87	Facility		$79.43	$4,897.79	$16,595.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $107.15 / $331.13	Professional		$50.12	$107.15	$331.13
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $102.33 / $128.82	Professional		$102.33	$102.33	$128.82
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 $56.23 / $120.23 / $154.88	Professional		$56.23	$120.23	$154.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $120.23 / $120.23	Facility		$120.23	$120.23	$120.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $120.23 / $186.21	Professional		$74.13	$120.23	$186.21
Medcost Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $186.21 / $186.21	Professional		$186.21	$186.21	$186.21
Medcost Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $93.33 / $169.82	Facility		$42.66	$93.33	$169.82
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 $54.95 / $102.33 / $165.96	Professional		$54.95	$102.33	$165.96