Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $177.00 / $3,776.00 / $9,727.00	Facility		$177.00	$3,776.00	$9,727.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $151.57 / $229.26 / $313.06	Professional		$151.57	$229.26	$313.06
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $257.19 / $257.19 / $257.19	Professional		$257.19	$257.19	$257.19
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,078.21 / $2,118.61 / $3,486.32	Facility		$1,078.21	$2,118.61	$3,486.32
BCBS Facility/Professional Professional Modifier Low / Median / High Price $143.68 / $179.60 / $304.45	Professional		$143.68	$179.60	$304.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $261.50 / $274.49 / $580.00	Facility		$261.50	$274.49	$580.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $167.00 / $279.60 / $466.71	Professional		$167.00	$279.60	$466.71
Medcost Facility/Professional Facility Modifier Low / Median / High Price $177.00 / $291.42 / $462.95	Facility		$177.00	$291.42	$462.95
Medcost Facility/Professional Professional Modifier Low / Median / High Price $292.45 / $292.45 / $292.45	Professional		$292.45	$292.45	$292.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $31.57 / $205.33 / $354.39	Professional		$31.57	$205.33	$354.39
United Facility/Professional Facility Modifier Low / Median / High Price $490.00 / $3,866.00 / $6,584.00	Facility		$490.00	$3,866.00	$6,584.00
United Facility/Professional Professional Modifier Low / Median / High Price $207.26 / $271.67 / $574.53	Professional		$207.26	$271.67	$574.53