Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $164.97 / $4,390.50 / $40,556.91	Facility		$164.97	$4,390.50	$40,556.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $127.28 / $152.74 / $229.52	Professional		$127.28	$152.74	$229.52
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $143.33 / $193.33 / $239.99	Professional		$143.33	$193.33	$239.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $133.33 / $140.00 / $184.00	Professional		$133.33	$140.00	$184.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $163.66 / $163.66 / $890.00	Facility		$163.66	$163.66	$890.00
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $16.03 / $16.03 / $16.03	Facility	AS	$16.03	$16.03	$16.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $161.78 / $199.27 / $326.77	Professional		$161.78	$199.27	$326.77
Medcost Facility/Professional Facility Modifier Low / Median / High Price $161.33 / $200.50 / $323.33	Facility		$161.33	$200.50	$323.33
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $36.46 / $40.10 / $62.39	Facility	80	$36.46	$40.10	$62.39
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $25.52 / $28.07 / $43.67	Facility	AS	$25.52	$28.07	$43.67
Molina Facility/Professional Professional Modifier Low / Median / High Price $138.85 / $188.80 / $306.04	Professional		$138.85	$188.80	$306.04
United Facility/Professional Facility Modifier Low / Median / High Price $225.00 / $1,221.00 / $3,585.00	Facility		$225.00	$1,221.00	$3,585.00
United Facility/Professional Professional Modifier Low / Median / High Price $119.27 / $158.75 / $322.64	Professional		$119.27	$158.75	$322.64