Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $148.59 / $3,776.00 / $9,727.00	Facility		$148.59	$3,776.00	$9,727.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $133.00 / $193.90 / $343.76	Professional		$133.00	$193.90	$343.76
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $191.02 / $191.02 / $191.02	Professional		$191.02	$191.02	$191.02
BCBS Facility/Professional Facility Modifier Low / Median / High Price $359.74 / $700.22 / $1,108.90	Facility		$359.74	$700.22	$1,108.90
BCBS Facility/Professional Professional Modifier Low / Median / High Price $132.62 / $240.00 / $311.64	Professional		$132.62	$240.00	$311.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $210.49 / $210.49 / $210.49	Facility		$210.49	$210.49	$210.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $140.18 / $193.76 / $275.45	Professional		$140.18	$193.76	$275.45
Medcost Facility/Professional Facility Modifier Low / Median / High Price $132.37 / $200.60 / $282.72	Facility		$132.37	$200.60	$282.72
Medcost Facility/Professional Professional Modifier Low / Median / High Price $211.70 / $211.70 / $211.70	Professional		$211.70	$211.70	$211.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $144.50 / $184.50 / $238.17	Professional		$144.50	$184.50	$238.17
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 $160.24 / $198.68 / $492.06	Professional		$160.24	$198.68	$492.06