Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $101.44 / $2,223.44 / $9,727.00	Facility		$101.44	$2,223.44	$9,727.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $84.07 / $132.58 / $230.62	Professional		$84.07	$132.58	$230.62
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $236.24 / $236.24 / $236.24	Professional		$236.24	$236.24	$236.24
BCBS Facility/Professional Facility Modifier Low / Median / High Price $618.30 / $1,146.51 / $1,765.12	Facility		$618.30	$1,146.51	$1,765.12
BCBS Facility/Professional Professional Modifier Low / Median / High Price $85.62 / $165.00 / $217.80	Professional		$85.62	$165.00	$217.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $119.52 / $119.52 / $119.52	Facility		$119.52	$119.52	$119.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $96.66 / $136.08 / $198.78	Professional		$96.66	$136.08	$198.78
Medcost Facility/Professional Facility Modifier Low / Median / High Price $92.05 / $142.04 / $206.08	Facility		$92.05	$142.04	$206.08
Medcost Facility/Professional Professional Modifier Low / Median / High Price $121.68 / $121.68 / $121.68	Professional		$121.68	$121.68	$121.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $105.90 / $131.76 / $180.41	Professional		$105.90	$131.76	$180.41
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 $106.05 / $138.96 / $243.18	Professional		$106.05	$138.96	$243.18