Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $4,897.79 / $16,595.87	Facility		$204.17	$4,897.79	$16,595.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $162.18 / $316.23	Professional		$109.65	$162.18	$316.23
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $154.88 / $154.88	Professional		$154.88	$154.88	$154.88
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 $102.33 / $204.17 / $269.15	Professional		$102.33	$204.17	$269.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $177.83 / $245.47	Professional		$125.89	$177.83	$245.47
Medcost Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $229.09 / $229.09	Professional		$229.09	$229.09	$229.09
Medcost Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $177.83 / $269.15	Facility		$117.49	$177.83	$269.15
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 $107.15 / $158.49 / $269.15	Professional		$107.15	$158.49	$269.15