Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $5,754.40 / $9,772.37	Facility		$269.15	$5,754.40	$9,772.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $239.88 / $512.86	Professional		$125.89	$239.88	$512.86
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $218.78 / $269.15	Professional		$141.25	$218.78	$269.15
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,905.46 / $3,467.37	Facility		$1,000.00	$1,905.46	$3,467.37
BCBS Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $169.82 / $316.23	Professional		$128.82	$169.82	$316.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $257.04 / $575.44	Facility		$223.87	$257.04	$575.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $269.15 / $436.52	Professional		$151.36	$269.15	$436.52
Medcost Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $331.13 / $588.84	Professional		$331.13	$331.13	$588.84
Medcost Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $263.03 / $467.74	Facility		$144.54	$263.03	$467.74
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 $1,096.48 / $3,890.45 / $7,762.47	Facility		$1,096.48	$3,890.45	$7,762.47
United Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $208.93 / $363.08	Professional		$117.49	$208.93	$363.08