Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $148.19 / $3,776.00 / $9,727.00	Facility		$148.19	$3,776.00	$9,727.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.59 / $191.19 / $312.61	Professional		$131.59	$191.19	$312.61
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $164.38 / $170.84 / $170.84	Professional		$164.38	$170.84	$170.84
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 $126.90 / $238.00 / $312.08	Professional		$126.90	$238.00	$312.08
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 $140.13 / $193.04 / $270.82	Professional		$140.13	$193.04	$270.82
Medcost Facility/Professional Facility Modifier Low / Median / High Price $133.25 / $200.07 / $278.23	Facility		$133.25	$200.07	$278.23
Medcost Facility/Professional Professional Modifier Low / Median / High Price $206.80 / $206.80 / $206.80	Professional		$206.80	$206.80	$206.80
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 $147.03 / $195.38 / $341.92	Professional		$147.03	$195.38	$341.92