Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $84.76 / $1,573.99 / $6,220.51	Facility		$84.76	$1,573.99	$6,220.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.32 / $114.60 / $304.66	Professional		$53.32	$114.60	$304.66
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $56.95 / $94.83 / $205.21	Professional		$56.95	$94.83	$205.21
BCBS Facility/Professional Facility Modifier Low / Median / High Price $616.63 / $1,448.40 / $3,019.42	Facility		$616.63	$1,448.40	$3,019.42
BCBS Facility/Professional Professional Modifier Low / Median / High Price $55.63 / $115.64 / $254.76	Professional		$55.63	$115.64	$254.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $96.71 / $375.00 / $1,158.06	Facility		$96.71	$375.00	$1,158.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $73.58 / $131.05 / $403.96	Professional		$73.58	$131.05	$403.96
Medcost Facility/Professional Facility Modifier Low / Median / High Price $65.48 / $224.38 / $428.32	Facility		$65.48	$224.38	$428.32
Medcost Facility/Professional Professional Modifier Low / Median / High Price $958.76 / $958.76 / $958.76	Professional		$958.76	$958.76	$958.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $164.55 / $222.22 / $341.55	Professional		$164.55	$222.22	$341.55
United Facility/Professional Facility Modifier Low / Median / High Price $729.00 / $6,607.00 / $8,667.00	Facility		$729.00	$6,607.00	$8,667.00
United Facility/Professional Professional Modifier Low / Median / High Price $195.18 / $243.97 / $484.28	Professional		$195.18	$243.97	$484.28