Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $4,897.79 / $16,595.87	Facility		$416.87	$4,897.79	$16,595.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $389.05 / $676.08	Professional		$302.00	$389.05	$676.08
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $208.93 / $223.87	Professional		$208.93	$208.93	$223.87
BCBS Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $398.11 / $691.83	Facility		$213.80	$398.11	$691.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $380.19 / $524.81	Professional		$302.00	$380.19	$524.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $575.44 / $575.44	Facility		$371.54	$575.44	$575.44
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $407.38 / $407.38 / $407.38	Facility	54	$407.38	$407.38	$407.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $436.52 / $776.25	Professional		$281.84	$436.52	$776.25
Medcost Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $524.81 / $851.14	Professional		$524.81	$524.81	$851.14
Medcost Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $436.52 / $776.25	Facility		$331.13	$436.52	$776.25
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 $275.42 / $354.81 / $562.34	Professional		$275.42	$354.81	$562.34