Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $171.65 / $3,296.00 / $27,308.98	Facility		$171.65	$3,296.00	$27,308.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $86.90 / $137.75 / $241.36	Professional		$86.90	$137.75	$241.36
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $46.91 / $132.80 / $156.22	Professional		$46.91	$132.80	$156.22
BCBS Facility/Professional Facility Modifier Low / Median / High Price $425.38 / $829.92 / $1,385.64	Facility		$425.38	$829.92	$1,385.64
BCBS Facility/Professional Professional Modifier Low / Median / High Price $87.28 / $121.80 / $198.51	Professional		$87.28	$121.80	$198.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $145.44 / $145.44 / $145.44	Facility		$145.44	$145.44	$145.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $103.81 / $155.69 / $217.12	Professional		$103.81	$155.69	$217.12
Medcost Facility/Professional Facility Modifier Low / Median / High Price $91.80 / $156.35 / $203.92	Facility		$91.80	$156.35	$203.92
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,397.41 / $1,397.41 / $1,397.41	Professional		$1,397.41	$1,397.41	$1,397.41
Medcost Facility/Professional Professional Modifier 50 Low / Median / High Price $2,096.12 / $2,096.12 / $2,096.12	Professional	50	$2,096.12	$2,096.12	$2,096.12
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 $659.00 / $6,607.00 / $8,667.00	Facility		$659.00	$6,607.00	$8,667.00
United Facility/Professional Professional Modifier Low / Median / High Price $113.22 / $150.85 / $408.70	Professional		$113.22	$150.85	$408.70