Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $114.27 / $3,776.00 / $9,727.00	Facility		$114.27	$3,776.00	$9,727.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.79 / $153.36 / $274.95	Professional		$102.79	$153.36	$274.95
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $81.59 / $81.59 / $223.79	Professional		$81.59	$81.59	$223.79
BCBS Facility/Professional Facility Modifier Low / Median / High Price $199.98 / $405.05 / $629.99	Facility		$199.98	$405.05	$629.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $101.97 / $167.00 / $218.99	Professional		$101.97	$167.00	$218.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $174.57 / $174.57 / $174.57	Facility		$174.57	$174.57	$174.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.13 / $149.91 / $219.68	Professional		$107.13	$149.91	$219.68
Medcost Facility/Professional Facility Modifier Low / Median / High Price $100.82 / $157.00 / $223.11	Facility		$100.82	$157.00	$223.11
Medcost Facility/Professional Professional Modifier Low / Median / High Price $146.51 / $146.51 / $146.51	Professional		$146.51	$146.51	$146.51
Molina Facility/Professional Professional Modifier Low / Median / High Price $114.26 / $151.17 / $199.13	Professional		$114.26	$151.17	$199.13
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 $117.47 / $156.05 / $273.08	Professional		$117.47	$156.05	$273.08