Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $4,897.79 / $16,595.87	Facility		$194.98	$4,897.79	$16,595.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $162.18 / $323.59	Professional		$102.33	$162.18	$323.59
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $125.89 / $125.89	Professional		$125.89	$125.89	$125.89
BCBS Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $645.65 / $1,148.15	Facility		$363.08	$645.65	$1,148.15
BCBS Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $194.98 / $257.04	Professional		$100.00	$194.98	$257.04
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 $120.23 / $169.82 / $251.19	Professional		$120.23	$169.82	$251.19
Medcost Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $223.87 / $223.87	Professional		$223.87	$223.87	$223.87
Medcost Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $169.82 / $257.04	Facility		$112.20	$169.82	$257.04
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 $104.71 / $147.91 / $257.04	Professional		$104.71	$147.91	$257.04