Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $6,025.60 / $16,595.87	Facility		$138.04	$6,025.60	$16,595.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $107.15 / $173.78	Professional		$58.88	$107.15	$173.78
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $61.66 / $61.66	Professional		$61.66	$61.66	$61.66
BCBS Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $1,096.48 / $1,905.46	Facility		$602.56	$1,096.48	$1,905.46
BCBS Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $134.90 / $199.53	Professional		$58.88	$134.90	$199.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $501.19 / $501.19	Facility		$501.19	$501.19	$501.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $123.03 / $181.97	Professional		$69.18	$123.03	$181.97
Medcost Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $218.78 / $218.78	Professional		$218.78	$218.78	$218.78
Medcost Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $114.82 / $186.21	Facility		$67.61	$114.82	$186.21
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 / $1,202.26 / $3,548.13	Facility		$380.19	$1,202.26	$3,548.13
United Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $112.20 / $177.83	Professional		$61.66	$112.20	$177.83