Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $4,897.79 / $16,595.87	Facility		$177.83	$4,897.79	$16,595.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $151.36 / $275.42	Professional		$91.20	$151.36	$275.42
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $275.42 / $275.42	Professional		$275.42	$275.42	$275.42
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 $89.13 / $165.96 / $218.78	Professional		$89.13	$165.96	$218.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $173.78 / $173.78	Facility		$173.78	$173.78	$173.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $154.88 / $218.78	Professional		$107.15	$154.88	$218.78
Medcost Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $199.53 / $199.53	Professional		$199.53	$199.53	$199.53
Medcost Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $154.88 / $234.42	Facility		$100.00	$154.88	$234.42
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 $93.33 / $138.04 / $234.42	Professional		$93.33	$138.04	$234.42