Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $201.95 / $723.80 / $7,799.00	Facility		$201.95	$723.80	$7,799.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $190.41 / $320.45 / $564.76	Professional		$190.41	$320.45	$564.76
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $371.55 / $371.55 / $371.55	Professional		$371.55	$371.55	$371.55
BCBS Facility/Professional Facility Modifier Low / Median / High Price $181.28 / $389.68 / $856.00	Facility		$181.28	$389.68	$856.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $209.08 / $261.45 / $419.12	Professional		$209.08	$261.45	$419.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $505.00 / $505.00 / $536.76	Facility		$505.00	$505.00	$536.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $209.81 / $316.68 / $545.32	Professional		$209.81	$316.68	$545.32
Medcost Facility/Professional Facility Modifier Low / Median / High Price $200.52 / $312.33 / $480.76	Facility		$200.52	$312.33	$480.76
Medcost Facility/Professional Professional Modifier Low / Median / High Price $427.30 / $427.30 / $427.30	Professional		$427.30	$427.30	$427.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.34 / $303.02 / $423.43	Professional		$30.34	$303.02	$423.43
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 $211.19 / $342.76 / $516.44	Professional		$211.19	$342.76	$516.44