Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $115.85 / $1,460.87 / $5,123.00	Facility		$115.85	$1,460.87	$5,123.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.24 / $208.26 / $595.12	Professional		$83.24	$208.26	$595.12
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $138.78 / $138.78 / $138.78	Professional		$138.78	$138.78	$138.78
BCBS Facility/Professional Facility Modifier Low / Median / High Price $94.83 / $220.09 / $703.89	Facility		$94.83	$220.09	$703.89
BCBS Facility/Professional Professional Modifier Low / Median / High Price $77.53 / $202.51 / $443.74	Professional		$77.53	$202.51	$443.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $111.04 / $348.69 / $845.61	Professional		$111.04	$348.69	$845.61
Medcost Facility/Professional Facility Modifier Low / Median / High Price $92.68 / $398.90 / $853.31	Facility		$92.68	$398.90	$853.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $301.69 / $411.44 / $629.53	Professional		$301.69	$411.44	$629.53
United Facility/Professional Facility Modifier Low / Median / High Price $461.00 / $3,866.00 / $6,584.00	Facility		$461.00	$3,866.00	$6,584.00
United Facility/Professional Professional Modifier Low / Median / High Price $418.47 / $533.16 / $1,062.35	Professional		$418.47	$533.16	$1,062.35