Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $4,897.79 / $16,595.87	Facility		$316.23	$4,897.79	$16,595.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $295.12 / $549.54	Professional		$234.42	$295.12	$549.54
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $173.78 / $173.78	Professional		$173.78	$173.78	$173.78
BCBS Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $371.54 / $676.08	Facility		$208.93	$371.54	$676.08
BCBS Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $309.03 / $426.58	Professional		$269.15	$309.03	$426.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $371.54 / $575.44	Facility		$208.93	$371.54	$575.44
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $316.23 / $316.23 / $316.23	Facility	54	$316.23	$316.23	$316.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $338.84 / $602.56	Professional		$223.87	$338.84	$602.56
Medcost Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $389.05 / $630.96	Professional		$389.05	$389.05	$630.96
Medcost Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $338.84 / $588.84	Facility		$257.04	$338.84	$588.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $33.11	Professional		$32.36	$33.11	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $1,202.26 / $3,548.13	Facility		$354.81	$1,202.26	$3,548.13
United Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $269.15 / $436.52	Professional		$208.93	$269.15	$436.52