Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $279.50 / $1,697.63 / $7,182.00	Facility		$279.50	$1,697.63	$7,182.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $98.00 / $250.81 / $353.63	Professional		$98.00	$250.81	$353.63
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $163.86 / $163.86 / $163.86	Professional		$163.86	$163.86	$163.86
BCBS Facility/Professional Facility Modifier Low / Median / High Price $96.01 / $249.02 / $717.28	Facility		$96.01	$249.02	$717.28
BCBS Facility/Professional Professional Modifier Low / Median / High Price $91.54 / $239.86 / $543.42	Professional		$91.54	$239.86	$543.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $130.88 / $283.79 / $539.77	Professional		$130.88	$283.79	$539.77
Medcost Facility/Professional Facility Modifier Low / Median / High Price $108.71 / $280.94 / $488.45	Facility		$108.71	$280.94	$488.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $192.04 / $261.93 / $404.63	Professional		$192.04	$261.93	$404.63
United Facility/Professional Facility Modifier Low / Median / High Price $1,106.00 / $3,866.00 / $7,558.00	Facility		$1,106.00	$3,866.00	$7,558.00
United Facility/Professional Professional Modifier Low / Median / High Price $256.98 / $354.29 / $664.94	Professional		$256.98	$354.29	$664.94