Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $4,265.80 / $9,772.37	Facility		$446.68	$4,265.80	$9,772.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $407.38 / $776.25	Professional		$346.74	$407.38	$776.25
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $331.13 / $331.13	Professional		$331.13	$331.13	$331.13
BCBS Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $1,174.90 / $2,398.83	Facility		$691.83	$1,174.90	$2,398.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $436.52 / $645.65	Professional		$380.19	$436.52	$645.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $371.54 / $660.69	Facility		$208.93	$371.54	$660.69
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $467.74 / $467.74 / $467.74	Facility	54	$467.74	$467.74	$467.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $501.19 / $870.96	Professional		$380.19	$501.19	$870.96
Medcost Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $630.96 / $912.01	Professional		$630.96	$630.96	$912.01
Medcost Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $512.86 / $851.14	Facility		$380.19	$512.86	$851.14
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 $316.23 / $398.11 / $660.69	Professional		$316.23	$398.11	$660.69