Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $135.63 / $3,776.00 / $9,727.00	Facility		$135.63	$3,776.00	$9,727.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $119.59 / $153.32 / $263.10	Professional		$119.59	$153.32	$263.10
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $165.38 / $165.38 / $165.38	Professional		$165.38	$165.38	$165.38
BCBS Facility/Professional Facility Modifier Low / Median / High Price $390.19 / $756.72 / $1,360.56	Facility		$390.19	$756.72	$1,360.56
BCBS Facility/Professional Professional Modifier Low / Median / High Price $116.03 / $153.84 / $210.38	Professional		$116.03	$153.84	$210.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $135.59 / $173.82 / $265.24	Professional		$135.59	$173.82	$265.24
Medcost Facility/Professional Facility Modifier Low / Median / High Price $121.73 / $164.44 / $232.23	Facility		$121.73	$164.44	$232.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $131.36 / $163.28 / $225.56	Professional		$131.36	$163.28	$225.56
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 $125.81 / $167.60 / $293.30	Professional		$125.81	$167.60	$293.30