Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $4,897.79 / $16,595.87	Facility		$380.19	$4,897.79	$16,595.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $331.13 / $588.84	Professional		$269.15	$331.13	$588.84
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $398.11 / $398.11	Professional		$398.11	$398.11	$398.11
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 $309.03 / $363.08 / $501.19	Professional		$309.03	$363.08	$501.19
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 $354.81 / $354.81 / $354.81	Facility	54	$354.81	$354.81	$354.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $398.11 / $691.83	Professional		$275.42	$398.11	$691.83
Medcost Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $467.74 / $776.25	Professional		$467.74	$467.74	$776.25
Medcost Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $389.05 / $707.95	Facility		$295.12	$389.05	$707.95
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 $239.88 / $316.23 / $501.19	Professional		$239.88	$316.23	$501.19