Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $1,000.00 / $7,762.47	Facility		$93.33	$1,000.00	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $169.82 / $537.03	Professional		$74.13	$169.82	$537.03
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $100.00 / $338.84	Professional		$72.44	$100.00	$338.84
BCBS Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $194.98 / $891.25	Facility		$93.33	$194.98	$891.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $190.55 / $489.78	Professional		$74.13	$190.55	$489.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $288.40 / $812.83	Professional		$109.65	$288.40	$812.83
Medcost Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $275.42 / $812.83	Facility		$87.10	$275.42	$812.83
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 $1,122.02 / $3,890.45 / $7,762.47	Facility		$1,122.02	$3,890.45	$7,762.47
United Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $331.13 / $794.33	Professional		$85.11	$331.13	$794.33