Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $327.51 / $820.25 / $5,621.00	Facility		$327.51	$820.25	$5,621.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $178.93 / $287.66 / $500.92	Professional		$178.93	$287.66	$500.92
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $246.40 / $249.92 / $409.95	Professional		$246.40	$249.92	$409.95
BCBS Facility/Professional Facility Modifier Low / Median / High Price $387.70 / $821.98 / $1,320.75	Facility		$387.70	$821.98	$1,320.75
BCBS Facility/Professional Professional Modifier Low / Median / High Price $176.00 / $220.80 / $343.66	Professional		$176.00	$220.80	$343.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $332.14 / $332.14 / $332.14	Facility		$332.14	$332.14	$332.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $190.77 / $286.50 / $438.19	Professional		$190.77	$286.50	$438.19
Medcost Facility/Professional Facility Modifier Low / Median / High Price $170.00 / $262.68 / $419.54	Facility		$170.00	$262.68	$419.54
Medcost Facility/Professional Professional Modifier Low / Median / High Price $282.00 / $282.00 / $282.00	Professional		$282.00	$282.00	$282.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.34 / $240.06 / $342.79	Professional		$30.34	$240.06	$342.79
United Facility/Professional Facility Modifier Low / Median / High Price $225.00 / $1,221.00 / $3,585.00	Facility		$225.00	$1,221.00	$3,585.00
United Facility/Professional Professional Modifier Low / Median / High Price $218.76 / $286.88 / $476.63	Professional		$218.76	$286.88	$476.63