Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $167.90 / $5,889.00 / $9,062.00	Facility		$167.90	$5,889.00	$9,062.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $130.83 / $182.49 / $304.80	Professional		$130.83	$182.49	$304.80
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $209.42 / $209.42 / $209.42	Professional		$209.42	$209.42	$209.42
BCBS Facility/Professional Facility Modifier Low / Median / High Price $615.26 / $1,088.02 / $1,765.12	Facility		$615.26	$1,088.02	$1,765.12
BCBS Facility/Professional Professional Modifier Low / Median / High Price $133.00 / $173.02 / $282.74	Professional		$133.00	$173.02	$282.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $231.11 / $249.95 / $580.00	Facility		$231.11	$249.95	$580.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $159.22 / $232.29 / $413.74	Professional		$159.22	$232.29	$413.74
Medcost Facility/Professional Facility Modifier Low / Median / High Price $158.00 / $237.00 / $417.88	Facility		$158.00	$237.00	$417.88
Medcost Facility/Professional Professional Modifier Low / Median / High Price $236.25 / $236.25 / $236.25	Professional		$236.25	$236.25	$236.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $153.29 / $203.70 / $314.81	Professional		$153.29	$203.70	$314.81
United Facility/Professional Facility Modifier Low / Median / High Price $490.00 / $2,991.00 / $6,584.00	Facility		$490.00	$2,991.00	$6,584.00
United Facility/Professional Professional Modifier Low / Median / High Price $167.57 / $220.84 / $488.55	Professional		$167.57	$220.84	$488.55