Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $250.81 / $4,230.00 / $9,727.00	Facility		$250.81	$4,230.00	$9,727.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $224.34 / $301.75 / $542.21	Professional		$224.34	$301.75	$542.21
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $160.00 / $160.00 / $160.00	Professional		$160.00	$160.00	$160.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $442.57 / $829.92 / $1,357.01	Facility		$442.57	$829.92	$1,357.01
BCBS Facility/Professional Professional Modifier Low / Median / High Price $213.57 / $282.00 / $420.67	Professional		$213.57	$282.00	$420.67
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 $244.74 / $328.14 / $514.83	Professional		$244.74	$328.14	$514.83
Medcost Facility/Professional Facility Modifier Low / Median / High Price $215.00 / $330.02 / $461.35	Facility		$215.00	$330.02	$461.35
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 $29.53 / $274.36 / $391.65	Professional		$29.53	$274.36	$391.65
United Facility/Professional Facility Modifier Low / Median / High Price $358.00 / $1,122.00 / $3,585.00	Facility		$358.00	$1,122.00	$3,585.00
United Facility/Professional Professional Modifier Low / Median / High Price $256.17 / $338.88 / $593.04	Professional		$256.17	$338.88	$593.04