Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $152.30 / $4,375.00 / $16,467.00	Facility		$152.30	$4,375.00	$16,467.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.79 / $130.78 / $218.04	Professional		$104.79	$130.78	$218.04
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $79.56 / $79.56 / $116.30	Professional		$79.56	$79.56	$116.30
BCBS Facility/Professional Facility Modifier Low / Median / High Price $205.04 / $438.34 / $817.81	Facility		$205.04	$438.34	$817.81
BCBS Facility/Professional Professional Modifier Low / Median / High Price $122.42 / $376.00 / $682.10	Professional		$122.42	$376.00	$682.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $150.62 / $210.80 / $580.00	Facility		$150.62	$210.80	$580.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $142.37 / $165.76 / $294.32	Professional		$142.37	$165.76	$294.32
Medcost Facility/Professional Facility Modifier Low / Median / High Price $139.84 / $157.33 / $272.24	Facility		$139.84	$157.33	$272.24
Medcost Facility/Professional Professional Modifier Low / Median / High Price $168.16 / $168.16 / $168.16	Professional		$168.16	$168.16	$168.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $109.81 / $150.60 / $235.77	Professional		$109.81	$150.60	$235.77
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 $104.15 / $134.38 / $301.31	Professional		$104.15	$134.38	$301.31