Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $187.29 / $564.82 / $16,467.00	Facility		$187.29	$564.82	$16,467.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.16 / $187.29 / $257.45	Professional		$138.16	$187.29	$257.45
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $218.61 / $218.61 / $218.61	Professional		$218.61	$218.61	$218.61
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,453.87 / $5,252.82 / $9,681.64	Facility		$2,453.87	$5,252.82	$9,681.64
BCBS Facility/Professional Professional Modifier Low / Median / High Price $164.88 / $214.33 / $328.84	Professional		$164.88	$214.33	$328.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $285.79 / $580.00 / $2,581.96	Facility		$285.79	$580.00	$2,581.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $173.17 / $244.48 / $441.26	Professional		$173.17	$244.48	$441.26
Medcost Facility/Professional Facility Modifier Low / Median / High Price $174.95 / $257.45 / $437.67	Facility		$174.95	$257.45	$437.67
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,144.91 / $2,144.91 / $2,144.91	Professional		$2,144.91	$2,144.91	$2,144.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $164.63 / $224.15 / $345.40	Professional		$164.63	$224.15	$345.40
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $12,456.00 / $19,591.00	Facility		$2,155.00	$12,456.00	$19,591.00
United Facility/Professional Professional Modifier Low / Median / High Price $170.24 / $227.39 / $443.64	Professional		$170.24	$227.39	$443.64