Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $1,047.13 / $13,182.57	Facility		$331.13	$1,047.13	$13,182.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $407.38 / $758.58	Professional		$218.78	$407.38	$758.58
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $354.81 / $426.58	Professional		$251.19	$354.81	$426.58
BCBS Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $812.83 / $1,445.44	Facility		$416.87	$812.83	$1,445.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $398.11 / $549.54	Professional		$218.78	$398.11	$549.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $575.44 / $575.44	Facility		$575.44	$575.44	$575.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $407.38 / $645.65	Professional		$295.12	$407.38	$645.65
Medcost Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $575.44 / $575.44	Professional		$575.44	$575.44	$575.44
Medcost Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $407.38 / $616.60	Facility		$251.19	$407.38	$616.60
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 $380.19 / $1,230.27 / $3,548.13	Facility		$380.19	$1,230.27	$3,548.13
United Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $363.08 / $602.56	Professional		$229.09	$363.08	$602.56