Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $4,897.79 / $9,772.37	Facility		$154.88	$4,897.79	$9,772.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $141.25 / $295.12	Professional		$79.43	$141.25	$295.12
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $104.71 / $239.88	Professional		$69.18	$104.71	$239.88
BCBS Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $1,047.13 / $1,862.09	Facility		$602.56	$1,047.13	$1,862.09
BCBS Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $147.91 / $257.04	Professional		$81.28	$147.91	$257.04
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 $97.72 / $141.25 / $199.53	Professional		$97.72	$141.25	$199.53
Medcost Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $229.09 / $229.09	Professional		$229.09	$229.09	$229.09
Medcost Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $138.04 / $213.80	Facility		$91.20	$138.04	$213.80
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 $81.28 / $123.03 / $213.80	Professional		$81.28	$123.03	$213.80