Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $4,897.79 / $16,595.87	Facility		$162.18	$4,897.79	$16,595.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $128.82 / $194.98	Professional		$81.28	$128.82	$194.98
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $117.49 / $117.49	Professional		$117.49	$117.49	$117.49
BCBS Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $354.81 / $630.96	Facility		$199.53	$354.81	$630.96
BCBS Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $141.25 / $194.98	Professional		$81.28	$141.25	$194.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $158.49 / $158.49	Facility		$158.49	$158.49	$158.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $138.04 / $199.53	Professional		$97.72	$138.04	$199.53
Medcost Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $181.97 / $181.97	Professional		$181.97	$181.97	$181.97
Medcost Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $141.25 / $213.80	Facility		$91.20	$141.25	$213.80
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 $83.18 / $125.89 / $213.80	Professional		$83.18	$125.89	$213.80